Provider Demographics
NPI:1477208189
Name:THE CHIROPRACTIC STUDIO
Entity Type:Organization
Organization Name:THE CHIROPRACTIC STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KWAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-688-7362
Mailing Address - Street 1:PO BOX 2166
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-8166
Mailing Address - Country:US
Mailing Address - Phone:808-688-7362
Mailing Address - Fax:808-400-6007
Practice Address - Street 1:98-1256 KAAHUMANU ST # E203
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3282
Practice Address - Country:US
Practice Address - Phone:808-688-7362
Practice Address - Fax:808-400-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty