Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 87 | HI |
N | 111NI0013X | Independent Medical Examiner | 87 | HI |
N | 111NN1001X | Nutrition | 87 | HI |
NPI | 1134463102 |
---|---|
Provider Name | Howard M Martin II |
First Address | Kailua Kona, HI 96740-8980 |
Second Address | Kailua Kona, HI 96740-8980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2012 |
Last Update Date | 15/11/2012 |