Provider Demographics
NPI:1558671123
Name:EDU, JAMES MICHAEL (LAC, DIPL OM)
Entity Type:Individual
Prefix:
First Name:JAMES MICHAEL
Middle Name:
Last Name:EDU
Suffix:
Gender:M
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1188 BISHOP ST
Mailing Address - Street 2:SUITE 2511
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3301
Mailing Address - Country:US
Mailing Address - Phone:808-521-5511
Mailing Address - Fax:808-521-5512
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 2511
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-521-5511
Practice Address - Fax:808-521-5512
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIACU-945171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist