Provider Demographics
NPI:1457687303
Name:ABRAMSON, JOHN ALEXANDER
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALEXANDER
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:ALEXANDER
Other - Last Name:ABRAMSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAC, LMT
Mailing Address - Street 1:PO BOX 433
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-0433
Mailing Address - Country:US
Mailing Address - Phone:808-561-4854
Mailing Address - Fax:
Practice Address - Street 1:100 N BERETANIA ST STE 203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4709
Practice Address - Country:US
Practice Address - Phone:808-521-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI149171100000X
HI5577174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist