MEDICARE: DR. ANAPUNI COLEMAN, JR. 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
1	111N00000X	Chiropractor	DC795	HI
2	111N00000X	Chiropractor	DC 795	HI

General Provider Information

NPI Number	:	1700020450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAPUNI COLEMAN, JR. DC

Provider Business Mailing Address
First Line	:	1300 PALI HWY
Second Line	:	SUITE 206
City	:	HONOLULU
State	:	HI
Zip	:	96813-2206
Country	:	US
Telephone Number	:	808-566-0773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 PALI HWY
Second Line	:	SUITE 206
City	:	HONOLULU
State	:	HI
Zip	:	96813-2206
Country	:	US
Telephone Number	:	808-566-0773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2009
Last Update Date	:	04/24/2009

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