Healthcare Provider Details

I. General information

NPI: 1669674529
Provider Name (Legal Business Name): EGRET INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 HANA HWY SUITE. 209
KAHULUI HI
96732-2315
US

IV. Provider business mailing address

3221 WAIALAE AVE SUITE 345
HONOLULU HI
96816-5842
US

V. Phone/Fax

Practice location:
  • Phone: 808-871-9020
  • Fax: 808-871-9024
Mailing address:
  • Phone: 808-732-5223
  • Fax: 808-735-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number58
License Number StateHI

VIII. Authorized Official

Name: MR. ROBERT KEVIN WEBB
Title or Position: PRESIDENT
Credential: BCHIS
Phone: 808-732-5223