Provider Demographics
NPI:1568685808
Name:YAMAUCHI CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:YAMAUCHI CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:K
Authorized Official - Last Name:YAMAUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-593-9941
Mailing Address - Street 1:1221 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 525
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3503
Mailing Address - Country:US
Mailing Address - Phone:808-593-9941
Mailing Address - Fax:808-593-9941
Practice Address - Street 1:1221 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 525
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3503
Practice Address - Country:US
Practice Address - Phone:808-593-9941
Practice Address - Fax:808-593-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI09842-6OtherHMSA
HIT-41320Medicare UPIN
HI0000QCBZVMedicare ID - Type Unspecified