| East Hawaii Somatic Healing, Inc. | |
|
101 Aupuni St Ste 118 Hilo HI 96720-4260 | |
| (808) 961-9200 | |
| (808) 961-9200 |
| Full Name | East Hawaii Somatic Healing, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Aupuni St Ste 118, Hilo, Hawaii |
| Authorized Official Name and Position | Robert Eugene Blinn (PRESIDENT) |
| Authorized Official Contact | 8084985644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Hawaii Somatic Healing, Inc. 101 Aupuni St Ste 118 Hilo HI 96720-4260 Ph: (808) 961-9200 | East Hawaii Somatic Healing, Inc. 101 Aupuni St Ste 118 Hilo HI 96720-4260 Ph: (808) 961-9200 |
| NPI Number | 1811402027 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5698035426 |
|---|---|
| Medicare Enrollment ID | O20180215002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811402027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Robert E Blinn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487053856 PECOS PAC ID: 4789802794 Enrollment ID: I20140903001848 |
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