Basic Information
| Provider Information | |||||||||
| NPI: | 1144673252 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEALTHCARE PARTNERS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 98-1005 MOANALUA RD SPC 410 | ||||||||
| Address2: | |||||||||
| City: | AIEA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967014702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084885555 | ||||||||
| FaxNumber: | 8084415351 | ||||||||
| Practice Location | |||||||||
| Address1: | 98-1005 MOANALUA RD SPC 410 | ||||||||
| Address2: | |||||||||
| City: | AIEA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967014702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084885555 | ||||||||
| FaxNumber: | 8084415351 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2016 | ||||||||
| LastUpdateDate: | 08/20/2019 | ||||||||
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| AuthorizedOfficialLastName: | WELLS | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8084451604 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081S0010X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine |
No ID Information.