Provider Demographics
NPI:1609052976
Name:TRADITIONAL CHINESE MEDICAL COLLEGE OF HAWAII
Entity Type:Organization
Organization Name:TRADITIONAL CHINESE MEDICAL COLLEGE OF HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:808-885-9226
Mailing Address - Street 1:PO BOX 2288
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743
Mailing Address - Country:US
Mailing Address - Phone:808-885-9226
Mailing Address - Fax:808-885-9227
Practice Address - Street 1:65-1206 MAMALAHOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743
Practice Address - Country:US
Practice Address - Phone:808-885-9226
Practice Address - Fax:808-885-9227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty