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NPI Code Detail

MEDICARE: MR. GLENN BAER HIS

MEDICARE: MR. GLENN BAER HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist256HI

General Provider Information

NPI Number : 1073446910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENN BAER HIS
Provider Business Mailing Address
First Line : PO BOX 11389
Second Line :
City : HONOLULU
State : HI
Zip : 96828-0389
Country : US
Telephone Number : 808-955-7366
Fax Number : 808-942-1938
Provider Business Practice Location Address
First Line : 1953 S BERETANIA ST STE 3B
Second Line :
City : HONOLULU
State : HI
Zip : 96826-1340
Country : US
Telephone Number : 808-955-7366
Fax Number : 808-942-1938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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