Provider Demographics
NPI:1639619059
Name:SABINS, MEGAN (LAC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SABINS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-042 WAIKALUALOKO LOOP
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2752
Mailing Address - Country:US
Mailing Address - Phone:509-385-1855
Mailing Address - Fax:
Practice Address - Street 1:45-042 WAIKALUALOKO LOOP
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2752
Practice Address - Country:US
Practice Address - Phone:509-385-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 1199171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist