Provider Demographics
NPI:1669676813
Name:HORWITZ, SCOTT EVERETT (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:EVERETT
Last Name:HORWITZ
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 1:1324 MOKOLEA DR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3239
Mailing Address - Country:US
Mailing Address - Phone:808-262-7941
Mailing Address - Fax:
Practice Address - Street 1:1324 MOKOLEA DR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3239
Practice Address - Country:US
Practice Address - Phone:808-262-7941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor