Provider Demographics
NPI:1174558548
Name:CARDINALLI, JOSEPH FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANK
Last Name:CARDINALLI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2405
Mailing Address - Country:US
Mailing Address - Phone:808-732-6157
Mailing Address - Fax:
Practice Address - Street 1:3566 HARDING AVE STE 100
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2457
Practice Address - Country:US
Practice Address - Phone:808-739-0680
Practice Address - Fax:808-739-0680
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH50620Medicare ID - Type Unspecified