Provider Demographics
NPI:1366679482
Name:ALOHA CHIROPRACTIC CARE
Entity Type:Organization
Organization Name:ALOHA CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:T
Authorized Official - Last Name:SOWERS-MOKUAHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-979-8700
Mailing Address - Street 1:6677 W THUNDERBIRD RD
Mailing Address - Street 2:F104
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-3709
Mailing Address - Country:US
Mailing Address - Phone:623-979-8700
Mailing Address - Fax:623-979-8708
Practice Address - Street 1:6677 W THUNDERBIRD RD
Practice Address - Street 2:F104
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3709
Practice Address - Country:US
Practice Address - Phone:623-979-8700
Practice Address - Fax:623-979-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty