Provider Demographics
NPI:1295158319
Name:CRABBE, DAWN (LAC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CRABBE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 KILAUEA AVE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5309
Mailing Address - Country:US
Mailing Address - Phone:808-959-3317
Mailing Address - Fax:808-959-3317
Practice Address - Street 1:2211 KILAUEA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5309
Practice Address - Country:US
Practice Address - Phone:808-959-3317
Practice Address - Fax:808-959-3317
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 1083171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist