# WASSERMAN CHIROPRACTIC INC

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

## Provider details

- **NPI number:** 1740342427
- **Authorized official:** DR. SHANA LOUANN AMOUYAL (PRESIDENT)
- **Authorized official phone:** (808) 283-0097

## Contact information

- **Practice address:** 95 E LIPOA ST STE A206, KIHEI, HI 96753-8193
- **Practice address phone:** (808) 283-0097
- **Practice address fax:** (808) 793-2733
- **Mailing address:** 95 E LIPOA ST STE A206, KIHEI, HI 96753-8193
- **Mailing address phone:** (808) 283-0097
- **Mailing address fax:** (808) 793-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 979 | HI | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 05/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A0250652 | HMSA | HI |