Provider Demographics
NPI:1134586373
Name:BECK, CLAIRE (DC)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:BECK
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 1:75-5591 PALANI RD STE 2005
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3634
Mailing Address - Country:US
Mailing Address - Phone:808-430-0198
Mailing Address - Fax:
Practice Address - Street 1:75-5591 PALANI RD STE 2005
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3634
Practice Address - Country:US
Practice Address - Phone:808-430-0198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC1330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor