Healthcare Provider Details

I. General information

NPI: 1841512720
Provider Name (Legal Business Name): IHWW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W. HIND DR # 117
HONOLULU HI
96821
US

IV. Provider business mailing address

850 W. HIND DR #117
HONOLULU HI
96821
US

V. Phone/Fax

Practice location:
  • Phone: 808-373-8002
  • Fax: 808-373-8004
Mailing address:
  • Phone: 808-373-8002
  • Fax: 808-373-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDY B. MAPES
Title or Position: PRESIDENT
Credential: BA, BS
Phone: 808-373-8002