Provider Demographics
NPI:1659798858
Name:BERNEY, MYRON HARTLEY (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:MYRON
Middle Name:HARTLEY
Last Name:BERNEY
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4126
Mailing Address - Country:US
Mailing Address - Phone:808-392-3366
Mailing Address - Fax:
Practice Address - Street 1:908 16TH AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4126
Practice Address - Country:US
Practice Address - Phone:808-392-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 101171100000X
HIND 54175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist