Dr. Jackson Friedman
Sports Medicine Doctor Neuromusculoskeletal Medicine (NMM)
100 Keokea Pl
Kula
, Hawaii 96790-7450
Dr. Jackson Friedman
Sports Medicine Doctor Neuromusculoskeletal Medicine (NMM)
100 Keokea Pl
Kula
, Hawaii 96790-7450
(808) 354-1698
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About
Features
Specialties
- Sports Medicine Doctor
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Jackson Friedman
- Po Box 840
- Kula, HI
- Zip : 96790-0840
- Phone : (808) 354-1698
Second Address
- Dr. Jackson Friedman
- 100 Keokea Pl
- Kula, HI
- Zip : 96790-7450
- Phone : (808) 354-1698
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | 237180 | NY |
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1397 | HI |
National Provider Identifier
| NPI | 1457419228 |
|---|---|
| Provider Name | Dr. Jackson Friedman |
| First Address | Kula, HI 96790-0840 |
| Second Address | Kula, HI 96790-7450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 14/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.