UPPER CERVICAL HAWAII LLC


Address: 1600 Kapiolani Blvd, Suite 1421, Honolulu, HI 96814-3801
Phone: 8086381313

UPPER CERVICAL HAWAII LLC (NPI# 1912173386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912173386
Entity Type Organization
Organization Name UPPER CERVICAL HAWAII LLC
Practice Address 1600 Kapiolani Blvd
Suite 1421
Honolulu
HI 96814-3801
Practice Telephone 8086381313
Mailing Telephone 8086381313
Enumeration Date 2008-05-05
Last Update Date 2013-01-09
Authorized Official Name DR. JOSEPH P. BREUWET (MEMBER/OWNER)
Authorized Official Telephone 8086381313
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center DC 1111 HI Ambulatory Health Care Facilities

Office Location

Street Address 1600 KAPIOLANI BLVD
SUITE 1421
City HONOLULU
State HI
Zip Code 96814-3801

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1306185616 Jessie Mitchell Behavioral Analyst 1600 Kapiolani Blvd, Honolulu, HI 96814-3801 2013-02-06
1841539152 Faye Neves Behavioral Analyst 1600 Kapiolani Blvd, Honolulu, HI 96814-3801 2013-02-06
1952647992 Liane Chu Behavioral Analyst 1600 Kapiolani Blvd, 1325, Honolulu, HI 96814-3801 2012-12-19
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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