Provider Demographics
NPI:1609373661
Name:NAKAMOTO, PAUL M (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:NAKAMOTO
Suffix:
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 1:1150 S KING ST STE 408
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1951
Mailing Address - Country:US
Mailing Address - Phone:808-376-8937
Mailing Address - Fax:808-772-4276
Practice Address - Street 1:1150 S KING ST STE 408
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1951
Practice Address - Country:US
Practice Address - Phone:808-376-8937
Practice Address - Fax:808-772-4276
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor