Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 555 | HI |
NPI | 1740494715 |
---|---|
Provider Name | Dr. Porter Veale Turnbull |
First Address | Haleiwa, HI 96712-8711 |
Second Address | Haleiwa, HI 96712-8711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |