Individual
DR. PAUL DERRICK BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
120 PAUAHI ST, SUITE 310, HILO, HI 96720-3067
(808) 933-9191
(808) 933-9292
Mailing address
120 PAUAHI ST, SUITE 310, HILO, HI 96720-3067
(808) 933-9191
(808) 933-9292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-1036
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101446
GROUP PIN
HI
01
—
101447
PIN
HI
Enumeration date
05/23/2006
Last updated
07/08/2007
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