Individual
DR. JEFFREY H CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1063 LOWER MAIN ST STE C212, WAILUKU, HI 96793-6006
(808) 249-8887
(808) 249-8889
Mailing address
1063 LOWER MAIN ST STE C212, WAILUKU, HI 96793-6006
(808) 249-8887
(808) 249-8889
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DOS925
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023228
HMSA PROVIDER ID NUMBER
HI
01
—
181847500
OWCP DOL NUMBER
—
01
—
75-2992323
FEDERAL ID NUMBER
—
Enumeration date
10/02/2006
Last updated
11/09/2012
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