Provider Demographics
NPI:1346970662
Name:HAWAII SPINE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HAWAII SPINE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-329-6997
Mailing Address - Street 1:78-7057 HOLUAKI LOOP
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-4520
Mailing Address - Country:US
Mailing Address - Phone:808-329-6997
Mailing Address - Fax:808-329-6987
Practice Address - Street 1:74-5565 LUHIA ST STE C2
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3124
Practice Address - Country:US
Practice Address - Phone:808-329-6997
Practice Address - Fax:808-329-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty