Healthcare Provider Details

I. General information

NPI: 1487020210
Provider Name (Legal Business Name): ACUPUNCTURE ARTS HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 BISHOP ST
HONOLULU HI
96813-2808
US

IV. Provider business mailing address

1145 BISHOP ST
HONOLULU HI
96813-2808
US

V. Phone/Fax

Practice location:
  • Phone: 808-781-4920
  • Fax:
Mailing address:
  • Phone: 808-781-4920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberL.AC 1006
License Number StateHI

VIII. Authorized Official

Name: MARC C CAPENER
Title or Position: OWNER/OPERATOR
Credential: L.AC MSOM
Phone: 808-781-4920