Organization
ADVANCED SPINAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD BENNIS (OWNER)
(808) 822-2227
Entity
Organization
Contact information
Practice address
4-1345 KUHIO HWY STE D, KAPAA, HI 96746-1600
(808) 822-2227
Mailing address
PO BOX 862, KAPAA, HI 96746-0862
(808) 822-2227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-1107
HI
Other
Enumeration date
01/30/2009
Last updated
06/05/2009
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