Healthcare Provider Details

I. General information

NPI: 1194441279
Provider Name (Legal Business Name): MARK HASE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7192 KALANIANAOLE HWY STE E206
HONOLULU HI
96825-1849
US

IV. Provider business mailing address

4348 WAIALAE AVE STE 247
HONOLULU HI
96816-5767
US

V. Phone/Fax

Practice location:
  • Phone: 808-797-8094
  • Fax:
Mailing address:
  • Phone: 808-321-7135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number013667
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-1623
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: