Individual
PERRY G HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1188 BISHOP ST, SUITE 3111, HONOLULU, HI 96813-3313
(808) 532-0660
(808) 532-0663
Mailing address
1188 BISHOP ST, SUITE 3111, HONOLULU, HI 96813-3313
(808) 532-0660
(808) 532-0663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD4549
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000011957
HAWAII MEDICAL SVC ASSN
HI
05
—
01140601
—
HI
01
—
H0000BDLVQ
MEDICARE PTAN
—
Enumeration date
06/13/2006
Last updated
11/10/2011
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