Healthcare Provider Details

I. General information

NPI: 1821873639
Provider Name (Legal Business Name): HUNTER WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-080 KAUHALE ST STE D9
AIEA HI
96701-4114
US

IV. Provider business mailing address

99-080 KAUHALE ST STE D9
AIEA HI
96701-4114
US

V. Phone/Fax

Practice location:
  • Phone: 808-637-2608
  • Fax:
Mailing address:
  • Phone: 772-203-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC1583
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: