Provider Demographics
NPI:1760976013
Name:ORTHOPAEDIC SPECIALISTS HAWAII LLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC SPECIALISTS HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESTER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:808-221-1641
Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 1320
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4406
Mailing Address - Country:US
Mailing Address - Phone:808-772-4988
Mailing Address - Fax:855-414-7085
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1320
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4406
Practice Address - Country:US
Practice Address - Phone:808-772-4988
Practice Address - Fax:855-414-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty