Healthcare Provider Details

I. General information

NPI: 1447658075
Provider Name (Legal Business Name): ROWYN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2014
Last Update Date: 12/14/2014
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: 808-548-4400
Mailing address:
  • Phone: 989-615-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA 254
License Number StateHI

VIII. Authorized Official

Name: MR. ROBERT JAMES TOUSIGNANT
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 989-615-4143