Healthcare Provider Details
I. General information
NPI: 1801940879
Provider Name (Legal Business Name): HARRY JOSEPH ASHE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
56-565 KAMEHAMEHA HWY
KAHUKU HI
96731-2202
US
IV. Provider business mailing address
59-375 WILINAU ROAD
HALEIWA HI
96712-0000
US
V. Phone/Fax
- Phone: 808-221-2493
- Fax: 808-293-1171
- Phone: 808-221-2493
- Fax: 808-293-1171
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | MD4015 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: