Ichishita LLC Dba
Chiropractor in Kailua-Kona, HI. Organization (NPI-2).
NPI number1124288972
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1124288972
- Entity type
- Organization (NPI-2)
- Legal business name
- Ichishita LLC Dba
- Organization subpart
- No
- Enumeration date
- Jun 16, 2008
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC842 | HI | Yes |
Other names
- Big Island Chiropractic (Doing Business As)
Practice location
75-5591 Palani RoadSuite 207
Kailua-Kona, HI 96740-3632
Phone 808-327-9845 · Fax 808-329-9038
Mailing address
75-5591 Palani RoadSuite 207
Kailua-Kona, HI 96740-3632
Phone 808-327-9845 · Fax 808-329-9038
Authorized official
Tod M Ichishita
Chiropractor
8083279845
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