Provider Demographics
NPI:1568584951
Name:WATANABE, WILLIAM K I (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:WATANABE
Suffix:I
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 1:1145 S KING ST STE A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2241
Mailing Address - Country:US
Mailing Address - Phone:808-597-9160
Mailing Address - Fax:808-597-9170
Practice Address - Street 1:1145 S KING ST STE A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2241
Practice Address - Country:US
Practice Address - Phone:808-597-9160
Practice Address - Fax:808-597-9170
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor