Provider Demographics
NPI:1932321932
Name:CHOLEWA, IRENEUS (ND)
Entity Type:Individual
Prefix:DR
First Name:IRENEUS
Middle Name:
Last Name:CHOLEWA
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:IAN
Other - Middle Name:
Other - Last Name:CHOLEWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:2395 S. KIHEI RD. #204
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753
Mailing Address - Country:US
Mailing Address - Phone:808-874-3400
Mailing Address - Fax:
Practice Address - Street 1:2395 S. KIHEI RD. #204
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753
Practice Address - Country:US
Practice Address - Phone:808-874-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-142175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath