# NORTH SHORE FAMILY CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1659006286
- **Authorized official:** JAKE SIMMONS DC (OWNER)
- **Authorized official phone:** (808) 291-2542

## Contact information

- **Practice address:** 66-590 KAMEHAMEHA HWY STE 1B, HALEIWA, HI 96712-1484
- **Practice address phone:** (808) 291-2542
- **Practice address fax:** (808) 491-0999
- **Mailing address:** 66-590 KAMEHAMEHA HWY STE 1B, HALEIWA, HI 96712-1484
- **Mailing address phone:** (808) 291-2542
- **Mailing address fax:** (808) 491-9000

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 07/29/2024