Provider Demographics
NPI:1770807349
Name:BISCHOFF, AKEMI NAKAGAWA (LAC)
Entity type:Individual
Prefix:MS
First Name:AKEMI
Middle Name:NAKAGAWA
Last Name:BISCHOFF
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 1:355 AOLOA ST.
Mailing Address - Street 2:M107
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734
Mailing Address - Country:US
Mailing Address - Phone:808-347-5243
Mailing Address - Fax:808-888-7891
Practice Address - Street 1:22 ONEAWA ST.
Practice Address - Street 2:#D
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-347-5243
Practice Address - Fax:808-888-7891
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-918171100000X
CAAC11257171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist