Provider Demographics
NPI:1972660942
Name:SATO, CHAD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:SATO
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 1:2930 E MANOA RD
Mailing Address - Street 2:SUITE #C-5
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1806
Mailing Address - Country:US
Mailing Address - Phone:808-988-5532
Mailing Address - Fax:808-988-1612
Practice Address - Street 1:2930 E MANOA RD
Practice Address - Street 2:SUITE #C-5
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1806
Practice Address - Country:US
Practice Address - Phone:808-988-5532
Practice Address - Fax:808-988-1612
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI28140-4OtherHMSA
HI52366Medicare ID - Type Unspecified