MEDICARE: DR. DONNA-LYNN L.S. CHING 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	390	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9877-2	OTHER	HI	HMSA

General Provider Information

NPI Number	:	1689776130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA-LYNN L.S. CHING D.C.

Provider Business Mailing Address
First Line	:	1109 12TH AVE STE 201
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-3714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 12TH AVE STE 201
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-3714
Country	:	US
Telephone Number	:	808-732-2662
Fax Number	:

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	07/08/2007

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