| Beata Summer-brason | |
|
4211 Waialae #202 Honolulu HI 96816-5319 | |
| (808) 220-7017 | |
| Not Available |
| Full Name | Beata Summer-brason |
|---|---|
| Speciality | General Practice |
| Location | 4211 Waialae #202, Honolulu, Hawaii |
| Authorized Official Name and Position | Beata Summer-brason (OWNER) |
| Authorized Official Contact | 8082207017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beata Summer-brason 4211 Waialae Ave #202 Honolulu HI 96816-5319 Ph: (808) 220-7017 | Beata Summer-brason 4211 Waialae #202 Honolulu HI 96816-5319 Ph: (808) 220-7017 |
| NPI Number | 1285184796 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/07/2016 |
| Medicare PECOS PAC ID | 6103184155 |
|---|---|
| Medicare Enrollment ID | O20171220001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285184796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DOS 1195 (Hawaii) | Primary |
| Provider Name | Beata W Summer-brason |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1194739417 PECOS PAC ID: 8628098274 Enrollment ID: I20171220001474 |
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