Healthcare Provider Details

I. General information

NPI: 1164602330
Provider Name (Legal Business Name): JAMES JOYNER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST STE 904
HONOLULU HI
96813-2448
US

IV. Provider business mailing address

PO BOX 25490
HONOLULU HI
96825-0490
US

V. Phone/Fax

Practice location:
  • Phone: 808-366-4886
  • Fax:
Mailing address:
  • Phone: 808-536-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number13962
License Number StateHI

VIII. Authorized Official

Name: JAMES JOYNER
Title or Position: PRESIDENT
Credential: MD
Phone: 808-366-4886