Provider Demographics
NPI:1225228067
Name:BRAS, GARETT (DC)
Entity Type:Individual
Prefix:
First Name:GARETT
Middle Name:
Last Name:BRAS
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 1:1331 ALA KAPUNA ST
Mailing Address - Street 2:APT. 104
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1353
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1331 ALA KAPUNA ST
Practice Address - Street 2:APT. 104
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1353
Practice Address - Country:US
Practice Address - Phone:808-721-8834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor