Provider Demographics
NPI:1003292012
Name:JOHN P. NEUHAUS, M.D., LLC
Entity Type:Organization
Organization Name:JOHN P. NEUHAUS, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:NEUHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-723-9344
Mailing Address - Street 1:99-128 AIEA HEIGHTS DRIVE
Mailing Address - Street 2:#301
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3933
Mailing Address - Country:US
Mailing Address - Phone:808-723-9344
Mailing Address - Fax:808-312-4637
Practice Address - Street 1:99-128 AIEA HEIGHTS DRIVE
Practice Address - Street 2:#301
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3933
Practice Address - Country:US
Practice Address - Phone:808-723-9344
Practice Address - Fax:808-312-4637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-84272084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty