Provider Demographics
NPI:1376788430
Name:YARUSH, JOHN III (PHD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:YARUSH
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3-3122 KUHIO HWY STE A8
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1170
Mailing Address - Country:US
Mailing Address - Phone:808-245-2951
Mailing Address - Fax:
Practice Address - Street 1:3-3122 KUHIO HWY STE A8
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1170
Practice Address - Country:US
Practice Address - Phone:808-245-2951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHA#79237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist