Healthcare Provider Details

I. General information

NPI: 1003802323
Provider Name (Legal Business Name): DENNIS T SEKINE MS, MPH, CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 CENTRAL AVE
PEARL HARBOR HI
96860-4908
US

IV. Provider business mailing address

98-919 KAONOHI ST
AIEA HI
96701-2471
US

V. Phone/Fax

Practice location:
  • Phone: 808-474-0628
  • Fax:
Mailing address:
  • Phone: 808-487-9443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD 13
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: