Healthcare Provider Details
I. General information
NPI: 1174734875
Provider Name (Legal Business Name): ORTHOPEDIC SERVICES COMPANY, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2007
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1380 LUSITANA ST SUITE 608
HONOLULU HI
96813-2421
US
IV. Provider business mailing address
PO BOX 1300 MAIL CODE 47913
HONOLULU HI
96807-1300
US
V. Phone/Fax
- Phone: 808-536-2261
- Fax: 808-538-3957
- Phone: 808-536-2261
- Fax: 808-538-3957
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
E
ATKINSON
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 808-536-2261