Provider Demographics
NPI:1386183341
Name:NERVEFLOW
Entity Type:Organization
Organization Name:NERVEFLOW
Other - Org Name:DILLBERG INTEGRATED HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DILLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-742-9326
Mailing Address - Street 1:2711 ALA KINOIKI
Mailing Address - Street 2:
Mailing Address - City:KOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96756-8565
Mailing Address - Country:US
Mailing Address - Phone:808-742-9326
Mailing Address - Fax:808-742-9458
Practice Address - Street 1:2711 ALA KINOIKI
Practice Address - Street 2:
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756-8565
Practice Address - Country:US
Practice Address - Phone:808-742-9326
Practice Address - Fax:808-742-9458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC615111N00000X, 111NN1001X, 111NP0017X, 111NR0400X
HIACU306171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty