Provider Demographics
NPI:1003160169
Name:PIOTROWSKI, PATRICK WILLIAM (LAC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:WILLIAM
Last Name:PIOTROWSKI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3454 WAIALAE AVE
Mailing Address - Street 2:STE 6
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2658
Mailing Address - Country:US
Mailing Address - Phone:808-292-8294
Mailing Address - Fax:
Practice Address - Street 1:3454 WAIALAE AVE
Practice Address - Street 2:STE 6
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2658
Practice Address - Country:US
Practice Address - Phone:808-292-8294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-28
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-1043171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist