Provider Demographics
NPI:1770644619
Name:SHIU, GREGORY S (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:S
Last Name:SHIU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1314 SOUTH KING ST
Mailing Address - Street 2:SUITE 1561
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-591-2622
Mailing Address - Fax:808-591-2622
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:SUITE 1561
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1956
Practice Address - Country:US
Practice Address - Phone:808-591-2622
Practice Address - Fax:808-591-2622
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDC 1031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor