Healthcare Provider Details

I. General information

NPI: 1902181571
Provider Name (Legal Business Name): CHARMANE CATERINA-BOTTORF HEARING AID DEALER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHARMANE CATERINA-BOTTORF HEARING AID DEALER

II. Dates (important events)

Enumeration Date: 10/14/2011
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 KAMEHAMEHA HWY STE 100
PEARL CITY HI
96782-2596
US

IV. Provider business mailing address

1000 KAMEHAMEHA HWY STE 100
PEARL CITY HI
96782-2596
US

V. Phone/Fax

Practice location:
  • Phone: 808-489-9410
  • Fax:
Mailing address:
  • Phone: 808-489-9410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number198
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: