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Contact Information

VANCE L FLETCHER MD LLC
91-2139 FORT WEAVER RD
SUITE 311
EWA BEACH, HI96706-3607
 Phone: 808-671-3715
 Fax: 808-677-2027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VANCE L FLETCHER MD LLC

NPI # 1740324201
LBN Legal business name VANCE L FLETCHER MD LLC
Authorized official VANCE FLETCHER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2007
Last updated 03/03/2015 - About 11 years ago
Identifiers
HI License # 13964
HI Medicaid 589012
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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