Provider Demographics
NPI:1407115991
Name:SQUARE ROOT COMPUTERS INC
Entity Type:Organization
Organization Name:SQUARE ROOT COMPUTERS INC
Other - Org Name:SOURCE UNLIMITED: CENTER FOR HOLISTIC WELL BEING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, MAOM
Authorized Official - Phone:512-369-2242
Mailing Address - Street 1:1279 S KING ST # 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2270
Mailing Address - Country:US
Mailing Address - Phone:512-369-2242
Mailing Address - Fax:888-731-7575
Practice Address - Street 1:1279 S KING ST # 1
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2270
Practice Address - Country:US
Practice Address - Phone:512-369-2242
Practice Address - Fax:888-731-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1026171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty