1538318555 NPI number — MR. PETER K MURAKAMI L.A.C

Table of content: MR. PETER K MURAKAMI L.A.C (NPI 1538318555)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538318555 NPI number — MR. PETER K MURAKAMI L.A.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURAKAMI
Provider First Name:
PETER
Provider Middle Name:
K
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
L.A.C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538318555
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4590 HANA HIGHWAY
Provider Second Line Business Mailing Address:
PO BOX 807
Provider Business Mailing Address City Name:
HANA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96713
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-248-7515
Provider Business Mailing Address Fax Number:
808-248-7223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4590 HANA HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-248-7515
Provider Business Practice Location Address Fax Number:
808-248-7223
Provider Enumeration Date:
09/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  ACU 696 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ACU 696 . This is a "HAWAII LICENSE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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