Provider Demographics
NPI:1013241827
Name:SPORTS & FAMILY CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:SPORTS & FAMILY CHIROPRACTIC CLINIC
Other - Org Name:HOWARD TANG D.C.P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:DUONG
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-524-8813
Mailing Address - Street 1:1191 BETHEL STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2220
Mailing Address - Country:US
Mailing Address - Phone:808-524-9913
Mailing Address - Fax:808-524-8815
Practice Address - Street 1:1191 BETHEL STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2220
Practice Address - Country:US
Practice Address - Phone:808-524-9913
Practice Address - Fax:808-524-8815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty