Provider Demographics
NPI:1740494715
Name:TURNBULL, PORTER VEALE (DC)
Entity type:Individual
Prefix:DR
First Name:PORTER
Middle Name:VEALE
Last Name:TURNBULL
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 1:59-168 KAMEHAMEHA HWY
Mailing Address - Street 2:A
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-8711
Mailing Address - Country:US
Mailing Address - Phone:808-638-8740
Mailing Address - Fax:
Practice Address - Street 1:59-168 KAMEHAMEHA HWY
Practice Address - Street 2:A
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-8711
Practice Address - Country:US
Practice Address - Phone:808-638-8740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI555111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic