# ADVANCED SPINAL CARE, LLC

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

## Provider details

- **NPI number:** 1669610424
- **Authorized official:** DR. CHAD BENNIS (OWNER)
- **Authorized official phone:** (808) 822-2227

## Contact information

- **Practice address:** 4-1345 KUHIO HWY STE D, KAPAA, HI 96746-1600
- **Practice address phone:** (808) 822-2227
- **Mailing address:** PO BOX 862, KAPAA, HI 96746-0862
- **Mailing address phone:** (808) 822-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC-1107 | HI | Yes |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 06/05/2009