Organization
PACIFIC CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. AVALLONE JR. D.C. (PRESIDENT)
(808) 871-7745
Entity
Organization
Contact information
Practice address
310 OHUKAI RD STE 312, KIHEI, HI 96753-7061
(808) 871-7745
(808) 874-1802
Mailing address
310 OHUKAI RD STE 312, KIHEI, HI 96753-7061
(808) 871-7745
(808) 874-1802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639211279
PERSONAL NPI NUMBER
HI
Enumeration date
11/20/2015
Last updated
11/20/2015
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