| Ohana Care Chiropractic Llc | |
|
54-063 Hauula Homestead Rd Unit C Hauula HI 96717-9641 | |
| (808) 391-4064 | |
| Not Available |
| Full Name | Ohana Care Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 54-063 Hauula Homestead Rd, Hauula, Hawaii |
| Authorized Official Name and Position | Richard Tyler Dennis (OWNER) |
| Authorized Official Contact | 8083914064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Care Chiropractic Llc Po Box 393 Laie HI 96762-0393 Ph: (808) 391-4064 | Ohana Care Chiropractic Llc 54-063 Hauula Homestead Rd Unit C Hauula HI 96717-9641 Ph: (808) 391-4064 |
| NPI Number | 1063799955 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 01/24/2012 |
| Medicare PECOS PAC ID | 7517124803 |
|---|---|
| Medicare Enrollment ID | O20120127000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063799955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DC1215 (Hawaii) | Primary |
| Provider Name | Richard Tyler Dennis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417233461 PECOS PAC ID: 8426215716 Enrollment ID: I20120127000699 |
Ko'olauloa Community Health And Wellness Center, Hauula Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54-316 Kamehameha Hwy, Hauula, HI 96717 Phone: 808-293-9216 |