Provider Demographics
NPI:1174834956
Name:JANE B. HERNANDEZ-ING, M.D., INC.
Entity Type:Organization
Organization Name:JANE B. HERNANDEZ-ING, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HERNANDEZ-ING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-261-0765
Mailing Address - Street 1:642 ULUKAHIKI ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4400
Mailing Address - Country:US
Mailing Address - Phone:808-261-0765
Mailing Address - Fax:808-262-5636
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:SUITE 211
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-261-0765
Practice Address - Fax:808-262-5636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty