Healthcare Provider Details

I. General information

NPI: 1700798394
Provider Name (Legal Business Name): CERVICAL CARE HAWAII LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD STE 1421
HONOLULU HI
96814-3805
US

IV. Provider business mailing address

354 ULUNIU ST STE 100
KAILUA HI
96734-2532
US

V. Phone/Fax

Practice location:
  • Phone: 808-201-1324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JO EDDINS
Title or Position: CEO
Credential: DC
Phone: 503-740-5265