# ICHISHITA LLC DBA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Big Island Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124288972
- **Authorized official:** DR. TOD M ICHISHITA DC (CHIROPRACTOR)
- **Authorized official phone:** (808) 327-9845

## Contact information

- **Practice address:** 75-5591 PALANI ROAD, SUITE 207, KAILUA-KONA, HI 96740-3632
- **Practice address phone:** (808) 327-9845
- **Practice address fax:** (808) 329-9038
- **Mailing address:** 75-5591 PALANI ROAD, SUITE 207, KAILUA-KONA, HI 96740-3632
- **Mailing address phone:** (808) 327-9845
- **Mailing address fax:** (808) 329-9038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC842 | HI | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008