NPI Code Details Logo

NPI 1023914199

NPI 1023914199 : STATE OF HAWAII, DEPARTMENT OF HEALTH : LAHAINA, HI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023914199
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    STATE OF HAWAII, DEPARTMENT OF HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/15/2026
-----------------------------------------------------
    Last Update Date     |    10/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1830 HONOAPIILANI HWY 
-----------------------------------------------------
    City                 |    LAHAINA
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96761-1856
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-662-4031
-----------------------------------------------------
    Fax                  |    808-984-2155
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 3378 
-----------------------------------------------------
    City                 |    HONOLULU
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96801-3378
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-590-7320
-----------------------------------------------------
    Fax                  |    808-586-4745
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    BRANCH CHIEF
-----------------------------------------------------
    Name                 |     TROY ALAN FREITAS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    808-478-6207
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084B0040X
-----------------------------------------------------
    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.