Jonathan Cleek

Individual provider Active NPI Independent Duty Corpsman · Kaneohe Bay, HI

NPI 1346590262 · NPPES record last updated Sep 18, 2012

Key facts

NPI
1346590262
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
BLDG 1181 Sumner Rd
Kaneohe Bay, HI 96863
Phone
(530) 586-2563
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
No

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
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

BLDG 1181 Sumner Rd
Kaneohe Bay, HI 96863

Mailing address

PO Box 944
Orland, CA 95963-0944
Phone (530) 586-2563

Other providers in Kaneohe Bay, HI

All providers in Kaneohe Bay, HI · Independent Duty Corpsman in Hawaii

Sources for this page

Verify at the official NPI Registry.