Provider Demographics
NPI:1447658075
Name:ROWYN LLC
Entity type:Organization
Organization Name:ROWYN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TOUSIGNANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-615-4143
Mailing Address - Street 1:74-802 ULUAOA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1502
Mailing Address - Country:US
Mailing Address - Phone:989-615-4143
Mailing Address - Fax:
Practice Address - Street 1:1130 N NIMITZ HWY
Practice Address - Street 2:SUITE A-124
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4579
Practice Address - Country:US
Practice Address - Phone:808-955-1540
Practice Address - Fax:808-548-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-14
Last Update Date:2014-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHA 254332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIHA 254OtherDEPARTMENT OF COMMERCE & CONSUMER AFFAIRS PROFESSIONAL AND VOCATIONAL LICENSING