Provider Demographics
NPI:1588952287
Name:BIG ISLAND COMPREHENSIVE NEUROLOGICAL SERVICES, LTD.
Entity type:Organization
Organization Name:BIG ISLAND COMPREHENSIVE NEUROLOGICAL SERVICES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARKO
Authorized Official - Middle Name:
Authorized Official - Last Name:REUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-238-0212
Mailing Address - Street 1:PO BOX 383160
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-3160
Mailing Address - Country:US
Mailing Address - Phone:808-238-0212
Mailing Address - Fax:808-315-8962
Practice Address - Street 1:75-5995 KUAKINI HWY
Practice Address - Street 2:STE 445
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-2144
Practice Address - Country:US
Practice Address - Phone:808-238-0212
Practice Address - Fax:808-315-8962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-161792084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty