Organization
PHOENIX ONE ENTERPRISES, INC.
Active
Other names
Pacific Hearing Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN W. BAER (PRESIDENT)
(808) 955-7366
Entity
Organization
Contact information
Practice address
1953 S BERETANIA ST, SUITE 3-B, HONOLULU, HI 96826-1300
(808) 955-7366
(808) 942-1938
Mailing address
PO BOX 11389, HONOLULU, HI 96828-0389
(808) 955-7366
(808) 942-1938
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
51, 169, 124, 70, 73
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21347-0
HAWAII MEDICAL SVC. ASSOC
HI
Enumeration date
02/18/2007
Last updated
12/29/2011
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