Provider Demographics
NPI:1295710457
Name:R & S ENTERPRISES INC
Entity type:Organization
Organization Name:R & S ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GILLAM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:808-329-1351
Mailing Address - Street 1:74-5599 LUHIA ST
Mailing Address - Street 2:STE G6
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1677
Mailing Address - Country:US
Mailing Address - Phone:808-329-1351
Mailing Address - Fax:808-329-5462
Practice Address - Street 1:74-5599 LUHIA ST
Practice Address - Street 2:STE G6
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1677
Practice Address - Country:US
Practice Address - Phone:808-329-1351
Practice Address - Fax:808-329-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI29237700000X
HI20231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI250678Medicaid
HI250678Medicaid