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Contact Information

LAURA J ANKRUM, DO
75-5751 KUAKINI HWY STE 101A
KAILUA-KONA, HI96740-1705
 Phone: 808-326-5629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LAURA J ANKRUM · (Female)

NPI # 1548233380
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/10/2006
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • HI License # DOS-1552
  • MI License # 5101014524
  • WI License # 46621 021
  • HI Medicaid 762543
  • MI Medicaid 4606346
  • MI Medicaid 4606364
  • WI Medicaid 43512500
Hospital affiliation(s)
  • NORTH HAWAII COMMUNITY HOSPITAL - (Acute Care)
    67 1125 MAMALAHOA HIGHWAY
    KAMUELA, HI 96743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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