David Max Croonquist, MA is a
Massage Therapist based in Papaaloa, Hawaii. David Max Croonquist is licensed to practice in Hawaii (license number 15002) and his current practice location is
35-2032 Old Mamalahoa Hwy, Papaaloa, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(206) 259-0008.
NPI number for David Max Croonquist is 1184119885 and his current mailing address is Po Box 2, Papaaloa, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184119885.
Healthcare Provider's Profile
| Full Name | David Max Croonquist |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 35-2032 Old Mamalahoa Hwy, Papaaloa, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184119885
- Provider Enumeration Date: 06/25/2018
- Last Update Date: 06/25/2018
Medical Identifiers
Medical identifiers for David Max Croonquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184119885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 15002 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Max Croonquist is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Max Croonquist, MA
Po Box 2,
Papaaloa, HI 96780-0002
Ph: (206) 259-0008 | David Max Croonquist, MA
35-2032 Old Mamalahoa Hwy,
Papaaloa, HI 96780-9997
Ph: (206) 259-0008 |
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