MEDICARE: DR. THOMAS IWASHITA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-492	HI
2	111N00000X	Chiropractor	5539	AZ

General Provider Information

NPI Number	:	1285746388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS IWASHITA D.C.

Provider Business Mailing Address
First Line	:	94-1122 KEPAKEPA ST
Second Line	:
City	:	WAIPAHU
State	:	HI
Zip	:	96797-4239
Country	:	US
Telephone Number	:	808-671-7188
Fax Number	:

Provider Business Practice Location Address
First Line	:	46-001 KAMEHAMEHA HWY
Second Line	:	SUITE 310
City	:	KANEOHE
State	:	HI
Zip	:	96744-3711
Country	:	US
Telephone Number	:	808-247-7997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/09/2007

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