Healthcare Provider Details

I. General information

NPI: 1053046904
Provider Name (Legal Business Name): SYNAPSE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST STE 1000
HONOLULU HI
96826-1077
US

IV. Provider business mailing address

1319 PUNAHOU ST STE 1000
HONOLULU HI
96826-1077
US

V. Phone/Fax

Practice location:
  • Phone: 808-277-6816
  • Fax:
Mailing address:
  • Phone: 808-754-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC HANNUM
Title or Position: OWNER
Credential:
Phone: 808-754-1027