Healthcare Provider Details

I. General information

NPI: 1922302389
Provider Name (Legal Business Name): DENNIS RHATIGAN,DC,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2010
Last Update Date: 12/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2347 MAKANANI DR
HONOLULU HI
96817-2040
US

IV. Provider business mailing address

2347 MAKANANI DR
HONOLULU HI
96817-2040
US

V. Phone/Fax

Practice location:
  • Phone: 808-841-3456
  • Fax: 808-847-2442
Mailing address:
  • Phone: 808-841-3456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number465
License Number StateHI

VIII. Authorized Official

Name: DR. DENNIS RHATIGAN
Title or Position: PRESIDENT
Credential: DC
Phone: 808-841-3456