Provider Demographics
NPI:1841598539
Name:STUART YANNELL
Entity Type:Organization
Organization Name:STUART YANNELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:808-280-9001
Mailing Address - Street 1:30 AHUWALE PL
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8860
Mailing Address - Country:US
Mailing Address - Phone:808-280-9001
Mailing Address - Fax:
Practice Address - Street 1:30 AHUWALE PL
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8860
Practice Address - Country:US
Practice Address - Phone:808-280-9001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI965171100000X
HI966171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty