Joyful Living, Llc | |
1248 Kinoole St Suite 101 Hilo HI 96720-4171 | |
(808) 935-8398 | |
Not Available |
Full Name | Joyful Living, Llc |
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Speciality | Family Medicine |
Location | 1248 Kinoole St, Hilo, Hawaii |
Authorized Official Name and Position | Matthew S Dykema (SOLE MEMBER / PHYSICIAN) |
Authorized Official Contact | 8083459841 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joyful Living, Llc 1248 Kinoole St Suite 101 Hilo HI 96720-4171 Ph: (808) 935-8398 | Joyful Living, Llc 1248 Kinoole St Suite 101 Hilo HI 96720-4171 Ph: (808) 935-8398 |
NPI Number | 1023556248 |
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Provider Enumeration Date | 02/08/2017 |
Last Update Date | 02/08/2017 |
Medicare PECOS PAC ID | 2365727062 |
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Medicare Enrollment ID | O20170320002618 |
Identifier | Type | State | Issuer |
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1023556248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | DOS-1454 (Hawaii) | Primary |
Provider Name | Matthew S Dykema |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255566816 PECOS PAC ID: 3678749819 Enrollment ID: I20130212000261 |
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