Provider Demographics
NPI:1033314281
Name:CAIN, CRAIG (DC,)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:CAIN
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 KEAWE ST
Mailing Address - Street 2:STE 207
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2486
Mailing Address - Country:US
Mailing Address - Phone:808-961-6887
Mailing Address - Fax:808-961-5090
Practice Address - Street 1:64 KEAWE ST
Practice Address - Street 2:STE 207
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2486
Practice Address - Country:US
Practice Address - Phone:808-961-6888
Practice Address - Fax:808-861-6887
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000354407OtherHMSA