Doctor Name: | DR. BREE MISAKO ICHIMASA |
NPI Number: | 1093076127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | DC-1168 |
Business Practice Address: | 45-1048 Kamehameha Hwy Suite 203 Kaneohe, HI - 967443241 |
Business Phone Number: | 8082474842 |
Business Fax Number: | 8082474842 |
Mailing Address: | 4135 Ulupua Pl, HONOLULU |
State: | HI |
Postal Code: | 968164744 |
Phone Number: | 8087321557 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2012 |
NPI Last Update Date: | 06/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC-1168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |