Healthcare Provider Details

I. General information

NPI: 1124422498
Provider Name (Legal Business Name): MR. ROBERT TOUSIGNANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 10/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 N NIMITZ HWY SUITE A-124
HONOLULU HI
96817-4579
US

IV. Provider business mailing address

74-802 ULUAOA ST
KAILUA KONA HI
96740-1502
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-1540
  • Fax:
Mailing address:
  • Phone: 989-615-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA - 254
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: