Provider Demographics
NPI:1134463102
Name:MARTIN, HOWARD M II (LMT, DC)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:MARTIN
Suffix:II
Gender:M
Credentials:LMT, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77-6399 NALANI ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-8980
Mailing Address - Country:US
Mailing Address - Phone:808-327-9400
Mailing Address - Fax:
Practice Address - Street 1:77-6399 NALANI ST
Practice Address - Street 2:SUITE 3
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-8980
Practice Address - Country:US
Practice Address - Phone:808-327-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI87111N00000X, 111NI0013X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NN1001XChiropractic ProvidersChiropractorNutrition