Healthcare Provider Details

I. General information

NPI: 1740452143
Provider Name (Legal Business Name): OGAWA CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 04/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 KUHIO HWY
KAPAA HI
96746-1552
US

IV. Provider business mailing address

956 KUHIO HWY
KAPAA HI
96746-1552
US

V. Phone/Fax

Practice location:
  • Phone: 808-822-7113
  • Fax: 808-823-0810
Mailing address:
  • Phone: 808-822-7113
  • Fax: 808-823-0810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0000264 & 0000272
License Number StateHI

VIII. Authorized Official

Name: DR. RYOICHI OGAWA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 808-822-7113