Provider Demographics
NPI:1639648744
Name:REHRER, CHRISTOPHER DAVID (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:REHRER
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:46-001 KAMEHAMEHA HWY STE 107
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3720
Mailing Address - Country:US
Mailing Address - Phone:808-234-1094
Mailing Address - Fax:808-234-1095
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 107
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3720
Practice Address - Country:US
Practice Address - Phone:808-234-1094
Practice Address - Fax:808-234-1095
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIAMD872363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant