Provider Demographics
NPI:1073648309
Name:MAKINO, VERNA M (DC)
Entity Type:Individual
Prefix:DR
First Name:VERNA
Middle Name:M
Last Name:MAKINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MAKALOA STREET
Mailing Address - Street 2:SUITE 798
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3283
Mailing Address - Country:US
Mailing Address - Phone:808-947-7575
Mailing Address - Fax:808-941-4026
Practice Address - Street 1:1580 MAKALOA STREET
Practice Address - Street 2:SUITE 798
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3283
Practice Address - Country:US
Practice Address - Phone:808-947-7575
Practice Address - Fax:808-941-4026
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA98655OtherHMSA
T41207Medicare UPIN
HI0000QCCDHMedicare ID - Type Unspecified