Provider Demographics
NPI:1952432072
Name:CHUN, TED WAI HOU (DC, DABCO)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:WAI HOU
Last Name:CHUN
Suffix:
Gender:M
Credentials:DC, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 PUUIKENA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2564
Mailing Address - Country:US
Mailing Address - Phone:808-373-3228
Mailing Address - Fax:
Practice Address - Street 1:95-720 LANIKUHANA AVE
Practice Address - Street 2:SUITE #240
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2985
Practice Address - Country:US
Practice Address - Phone:808-625-0098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI456111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic