Provider Demographics
NPI:1497265268
Name:MAUI HEALTH
Entity Type:Organization
Organization Name:MAUI HEALTH
Other - Org Name:MAUI HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SESAME
Authorized Official - Middle Name:
Authorized Official - Last Name:UNLU
Authorized Official - Suffix:
Authorized Official - Credentials:DAC, LAC
Authorized Official - Phone:808-283-5046
Mailing Address - Street 1:2315 KOKOMO RD
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5027
Mailing Address - Country:US
Mailing Address - Phone:808-283-5046
Mailing Address - Fax:844-965-9241
Practice Address - Street 1:3681 BALDWIN AVE STE G101
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-7505
Practice Address - Country:US
Practice Address - Phone:808-283-5046
Practice Address - Fax:844-965-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083996144OtherNPI