Provider Demographics
NPI:1063707602
Name:GOLDSTEIN, AARON (L AC M AC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:L AC M AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 KAHELE ST
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8026
Mailing Address - Country:US
Mailing Address - Phone:808-357-1034
Mailing Address - Fax:808-214-5682
Practice Address - Street 1:45 KAHELE ST
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8026
Practice Address - Country:US
Practice Address - Phone:808-357-1034
Practice Address - Fax:808-214-5682
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAC 712171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist