| |
45-1144 Kamehameha Hwy, Suite 200, Kaneohe, HI 96744-3244 | |
(808) 235-6677 | |
(808) 236-0844 |
Full Name | |
---|---|
Type | Facility |
Speciality | Specialist |
Location | 45-1144 Kamehameha Hwy, Kaneohe, Hawaii |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851383160 | NPI | - | NPPES |
F0098993 | Other | HI | HMSA |
990321516-49 | Other | HI | UNIVERSITY HEALTH ALLIANC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC420 (Hawaii) | Primary |
174400000X | Specialist | MAE 1745 (Hawaii) | Primary |
Mailing Address | Practice Location Address |
---|---|
45-1144 Kamehameha Hwy, Suite 200, Kaneohe, HI 96744-3244 Ph: (808) 235-6677 | 45-1144 Kamehameha Hwy, Suite 200, Kaneohe, HI 96744-3244 Ph: (808) 235-6677 |