Provider Demographics
NPI:1821524232
Name:ESSER, KURTUS MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:KURTUS
Middle Name:MICHAEL
Last Name:ESSER
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:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-0790
Mailing Address - Country:US
Mailing Address - Phone:808-492-3115
Mailing Address - Fax:
Practice Address - Street 1:66-935 KAUKONAHUA RD
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791
Practice Address - Country:US
Practice Address - Phone:808-492-3115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4575111N00000X
HI1381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1381OtherHAWAII STATE LICENSE