| Organization Name: | HAWAII ISLAND INTERVENTIONAL PAIN MANAGEMENT, INC |
| NPI Number: | 1932123551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG W. RUHLAND (PRESIDENT/OWNER) |
| Mailing Address: | 80 Pauahi St #104 Hilo |
| State: | HI US |
| Postal Code: | 967203025 |
| Phone Number: | 8089333400 |
| Fax Number: | 8089333401 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 08/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 30131514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |