Provider Demographics
NPI:1942634233
Name:OHIRA, SHAUN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:
Last Name:OHIRA
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 1:99-128 AIEA HEIGHTS DR STE 404
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3938
Mailing Address - Country:US
Mailing Address - Phone:808-445-3527
Mailing Address - Fax:808-440-1376
Practice Address - Street 1:99-128 AIEA HEIGHTS DR STE 404
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3938
Practice Address - Country:US
Practice Address - Phone:808-455-3527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor