=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144360116
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES H WEHRENBERG MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/07/2007
-----------------------------------------------------
Last Update Date | 01/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1188 BISHOP ST STE 3411
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-3314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-599-8759
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1188 BISHOP ST STE 3411
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-3314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-599-8759
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JAMES H WEHRENBERG
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 808-599-8759
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | MD3394
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------