Provider Demographics
NPI:1417367780
Name:BEAIR, JENNIFER MARIE SIT INN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE SIT INN
Last Name:BEAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 LUSITANA ST STE 607
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2431
Mailing Address - Country:US
Mailing Address - Phone:808-523-8868
Mailing Address - Fax:808-537-5500
Practice Address - Street 1:1329 LUSITANA ST STE 607
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2431
Practice Address - Country:US
Practice Address - Phone:808-523-8868
Practice Address - Fax:808-537-5500
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2018-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR 6678390200000X
HIMD19490207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program