NPI 1851583769 · live from the CMS NPI Registry
Robert E Boyack
Social Worker, Clinical in Ewa Beach, HI. National Provider Identifier 1851583769, active.
NPI record
| NPI | 1851583769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 |
| Practice phone | 808-681-3500 |
| Enumerated | August 14, 2007 |
| Last updated | May 8, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | ISW 2846 (FL) |
| Social Worker, Clinical primary | 1041C0700X | — (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.