Provider Demographics
NPI:1255338109
Name:TSUTSUI, ALLAN SHIGEO (DC)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:SHIGEO
Last Name:TSUTSUI
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 1:66-560 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-1425
Mailing Address - Country:US
Mailing Address - Phone:808-637-9752
Mailing Address - Fax:
Practice Address - Street 1:66-560 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-1425
Practice Address - Country:US
Practice Address - Phone:808-637-9752
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC 911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI56590Medicare ID - Type Unspecified