Provider Demographics
NPI:1932243318
Name:ALII CHIROPRACTIC
Entity Type:Organization
Organization Name:ALII CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARCHENGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-329-6997
Mailing Address - Street 1:75-5526 KEALIA ST
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725-9613
Mailing Address - Country:US
Mailing Address - Phone:808-329-6997
Mailing Address - Fax:808-329-6987
Practice Address - Street 1:75-5665 KUAKINI HWY
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1689
Practice Address - Country:US
Practice Address - Phone:808-329-6997
Practice Address - Fax:808-329-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH54489Medicare PIN
HIH54488Medicare PIN
HIU05715Medicare UPIN