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Contact Information

JARED MEDEIROS
478 LAUHALA PLACE
LANAI CITY, HI96763
 Phone: 808-565-6919
 Fax: 808-565-9111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JARED MEDEIROS · (Male)

NPI Number 1043617103
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2014
Last updated 12/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # APRN-1845
Hospital affiliation(s) Not Available
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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