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NPI Code Detail

MEDICARE: DR. CHRISTOPHER MITCHELL NOWICKI D.C., D.A.B.C.O

MEDICARE: DR. CHRISTOPHER MITCHELL NOWICKI D.C., D.A.B.C.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0800XOrthopedic ChiropractorDC #304HI

General Provider Information

NPI Number : 1265586747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER MITCHELL NOWICKI D.C., D.A.B.C.O
Provider Business Mailing Address
First Line : 803 KAMEHAMEHA HWY STE 309
Second Line :
City : PEARL CITY
State : HI
Zip : 96782-2638
Country : US
Telephone Number : 808-456-5553
Fax Number : 808-455-6520
Provider Business Practice Location Address
First Line : 803 KAMEHAMEHA HWY STE 309
Second Line :
City : PEARL CITY
State : HI
Zip : 96782-2638
Country : US
Telephone Number : 808-456-5553
Fax Number : 808-455-6520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHRISTOPHER MITCHELL NOWICKI D.C., D.A.B.C.O” Practice Location

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