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Organization
DONALD E NICOL MD INC
Active
Organization
DONALD E NICOL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD EDWARD NICOL MD (PRESIDENT)
(808) 373-2164
Entity
Organization
Contact information
Practice address
549 HALEMAUMAU ST STE F, HONOLULU, HI 96821-2150
(808) 373-2164
(808) 377-9705
Mailing address
549 HALEMAUMAU ST STE F, HONOLULU, HI 96821-2150
(808) 373-2164
(808) 377-9705
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
3657
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0046874
HMSA MEDICAID
HI
01
—
04242601
AOHACARE
HI
05
—
04242601
—
HI
01
—
1053367284
HMSA
HI
Enumeration date
02/01/2013
Last updated
12/08/2015
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