# PACIFIC CHIROPRACTIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124492673
- **Authorized official:** DR. JOHN E. AVALLONE JR. D.C. (PRESIDENT)
- **Authorized official phone:** (808) 871-7745

## Contact information

- **Practice address:** 310 OHUKAI RD STE 312, KIHEI, HI 96753-7061
- **Practice address phone:** (808) 871-7745
- **Practice address fax:** (808) 874-1802
- **Mailing address:** 310 OHUKAI RD STE 312, KIHEI, HI 96753-7061
- **Mailing address phone:** (808) 871-7745
- **Mailing address fax:** (808) 874-1802

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 11/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1639211279 | PERSONAL NPI NUMBER | HI |