Jason M Andrus in Wailuku - Child & Adolescent Psychiatry

Jason M Andrus - NPI 1629148713

Jason M Andrus is a Child & Adolescent Psychiatry in Wailuku, Hawaii. Jason M Andrus practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Jason M Andrus is 1629148713. The last update date is 2009-11-05.

Jason M Andrus's current location address is 221 Mahalani Street, Wailuku, Hawaii. You can contact this provider via phone number 8084425473 and fax number 8082422488. The mailing address for Jason M Andrus is 221 Mahalani Street, Wailuku, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason M Andrus
Address 221 Mahalani Street, Wailuku, Hawaii
Phone Number 8084425473
Fax Number 8082422488
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629148713
Provider Enumeration Date 2006-11-08
Last Updated Date 2009-11-05

Provider Mailing Address Detail

Address 221 Mahalani Street
City Wailuku
State Hawaii (HI)
Post Code 967932526
Phone Number 8084425473
Fax Number 8082422488

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 220851
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50055505 HI --

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FAQs about Jason M Andrus

What is the Jason M Andrus's unique identification number?

The Jason M Andrus has been assigned the NPI (National Provider Identifier) Number 1629148713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Jason M Andrus?

The Jason M Andrus is situated at 221 Mahalani Street, in the city of Wailuku, state of HI, with the zip code 967932526.

What is the area of specialization for Jason M Andrus, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jason M Andrus is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.

When did Jason M Andrus receive its 1629148713 assignment?

The Jason M Andrus was assigned its 1629148713 on 2006-11-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Jason M Andrus last refreshed?

The information related to the Jason M Andrus, including its address, specialty, and other relevant details, was last updated on 2009-11-05.

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