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NPI Code Detail

MEDICARE: DR. DANIEL GOHN RODRIGUES DC

MEDICARE: DR. DANIEL GOHN RODRIGUES DC
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
1111N00000XChiropractorDC 775HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1222059OTHERHIHMSA

General Provider Information

NPI Number : 1689888901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL GOHN RODRIGUES DC
Provider Business Mailing Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1601
City : HONOLULU
State : HI
Zip : 96814-3142
Country : US
Telephone Number : 808-593-1601
Fax Number : 808-589-2323
Provider Business Practice Location Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1601
City : HONOLULU
State : HI
Zip : 96814-3142
Country : US
Telephone Number : 808-593-1601
Fax Number : 808-589-2323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DANIEL GOHN RODRIGUES DC” Practice Location

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