Provider Demographics
NPI:1346276052
Name:KLEMMER, ERIC HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HOWARD
Last Name:KLEMMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HOWIE
Other - Middle Name:
Other - Last Name:KLEMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:770 KAPIOLANI BLVD
Mailing Address - Street 2:#705
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5212
Mailing Address - Country:US
Mailing Address - Phone:808-597-8791
Mailing Address - Fax:808-597-8781
Practice Address - Street 1:1301 PUNCHBOWL ST
Practice Address - Street 2:EMERGENCY DEPT. QUEEN'S MEDICAL CENTER
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2402
Practice Address - Country:US
Practice Address - Phone:808-597-8791
Practice Address - Fax:808-597-8781
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD10168207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00235101Medicaid
HIG34886Medicare UPIN
HI51073Medicare ID - Type Unspecified