Healthcare Provider Details

I. General information

NPI: 1740317643
Provider Name (Legal Business Name): RANDOLPH DIVISIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PIIKOI STREET SUITE 1111
HONOLULU HI
96814
US

IV. Provider business mailing address

615 PIIKOI STREET SUITE 1111
HONOLULU HI
96814
US

V. Phone/Fax

Practice location:
  • Phone: 808-973-1551
  • Fax: 808-973-1550
Mailing address:
  • Phone: 808-973-1551
  • Fax: 808-973-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number20
License Number StateHI

VIII. Authorized Official

Name: MR. WILLIAM RANDOLPH WOHLERS
Title or Position: COMPANY OWNER
Credential:
Phone: 808-973-1551