Provider Demographics
NPI:1417056177
Name:RAWSON, STEVEN GREGORY (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GREGORY
Last Name:RAWSON
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 1:419 SOUTH ST
Mailing Address - Street 2:SUITE 170
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5065
Mailing Address - Country:US
Mailing Address - Phone:808-381-5848
Mailing Address - Fax:
Practice Address - Street 1:419 SOUTH ST
Practice Address - Street 2:SUITE 170
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5065
Practice Address - Country:US
Practice Address - Phone:808-381-5848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2014-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI990356215OtherTAX ID #