Provider Demographics
NPI:1003978651
Name:POPOVAC, MONIQUE ABBINANTI (DC)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:ABBINANTI
Last Name:POPOVAC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 AEWA PL STE 12
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8882
Mailing Address - Country:US
Mailing Address - Phone:808-572-5599
Mailing Address - Fax:808-572-0394
Practice Address - Street 1:7 AEWA PL STE 12
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8882
Practice Address - Country:US
Practice Address - Phone:808-572-5599
Practice Address - Fax:808-572-0394
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor