Provider Demographics
NPI:1306882832
Name:OGAWA, ALICE HOLM (DC)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:HOLM
Last Name:OGAWA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-956 KUHIO HWY
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1552
Mailing Address - Country:US
Mailing Address - Phone:808-822-7113
Mailing Address - Fax:808-823-0810
Practice Address - Street 1:4-956 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1552
Practice Address - Country:US
Practice Address - Phone:808-822-7113
Practice Address - Fax:808-823-0810
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0000-272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIT93092Medicare UPIN