Provider Demographics
NPI:1740452143
Name:OGAWA CHIROPRACTIC INC
Entity type:Organization
Organization Name:OGAWA CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYOICHI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-822-7113
Mailing Address - Street 1:956 KUHIO HWY
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1552
Mailing Address - Country:US
Mailing Address - Phone:808-822-7113
Mailing Address - Fax:808-823-0810
Practice Address - Street 1:956 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1552
Practice Address - Country:US
Practice Address - Phone:808-822-7113
Practice Address - Fax:808-823-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0000264 & 0000272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIHOGAWACMedicare PIN