Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC354 | HI |
NPI | 1003094152 |
---|---|
Provider Name | Beverly Bigbee |
First Address | Honolulu, HI 96814 |
Second Address | Honolulu, HI 96814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 31/01/2008 |