MEDICARE: DR. NORMAN DABALOS D.C.

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	007114	GA
2	111N00000X	Chiropractor	HI-1348	HI

General Provider Information

NPI Number	:	1700077708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN DABALOS D.C.

Provider Business Mailing Address
First Line	:	111 HEKILI ST # A225
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	808-321-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 HEKILI ST # A225
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	808-321-9034
Fax Number	:

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

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	02/21/2022

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Directions to “ DR. NORMAN DABALOS D.C.” Practice Location

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