Provider Demographics
NPI:1285349118
Name:STEP UP CHIROPRACTIC LLC
Entity type:Organization
Organization Name:STEP UP CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:MAGALLANES
Authorized Official - Last Name:BERTOLERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-636-6285
Mailing Address - Street 1:2242 FERN ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-4276
Mailing Address - Country:US
Mailing Address - Phone:808-636-6285
Mailing Address - Fax:
Practice Address - Street 1:2525 S KING ST STE 311
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3154
Practice Address - Country:US
Practice Address - Phone:808-636-6285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty