1831265024 NPI number — MS. DARYL ANNE SMITH-OSWALD RD

Table of content: MS. DARYL ANNE SMITH-OSWALD RD (NPI 1831265024)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831265024 NPI number — MS. DARYL ANNE SMITH-OSWALD RD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH-OSWALD
Provider First Name:
DARYL
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OSWALD
Provider Other First Name:
DARYL
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1831265024
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
57 NAMALA PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KAILUA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96734-1956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-255-4810
Provider Business Mailing Address Fax Number:
808-261-1184

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 AULIKE ST STE 411
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAILUA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96734-2757
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-255-4810
Provider Business Practice Location Address Fax Number:
808-261-1184
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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