Provider Demographics
NPI:1861865594
Name:CHIROPRACTIC FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:CHIROPRACTIC FAMILY HEALTH CENTER
Other - Org Name:PAUL W KURIHARA SINGLE MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAKAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-486-6696
Mailing Address - Street 1:99-115 AIEA HEIGHTS DR STE 260
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3975
Mailing Address - Country:US
Mailing Address - Phone:808-486-6696
Mailing Address - Fax:
Practice Address - Street 1:99-115 AIEA HEIGHTS DR STE 260
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3975
Practice Address - Country:US
Practice Address - Phone:808-486-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1194930735Medicare NSC