Albert L Bolosan, PARAPROFESSIONAL

Individual provider Active NPI Community/Behavioral Health Agency · Waipahu, HI

NPI 1306288253 · NPPES record last updated Jul 19, 2013

Key facts

NPI
1306288253
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
94-269 Kahuapili St
Waipahu, HI 96797-3521
Phone
(808) 341-8087
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

94-269 Kahuapili St
Waipahu, HI 96797-3521

Mailing address

94-269 Kahuapili St
Waipahu, HI 96797-3521
Phone (808) 341-8087

Other providers in Waipahu, HI

All providers in Waipahu, HI · Community/Behavioral Health Agency in Hawaii

Sources for this page

Verify at the official NPI Registry.