Provider Demographics
NPI:1265440689
Name:DOW, ESTA F (DC)
Entity type:Individual
Prefix:
First Name:ESTA
Middle Name:F
Last Name:DOW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ESTA
Other - Middle Name:F
Other - Last Name:LUBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3950 KALAI WAA ST
Mailing Address - Street 2:N-202
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-7742
Mailing Address - Country:US
Mailing Address - Phone:808-874-1965
Mailing Address - Fax:
Practice Address - Street 1:2395 S KIHEI RD
Practice Address - Street 2:STE. 201
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8635
Practice Address - Country:US
Practice Address - Phone:808-879-0638
Practice Address - Fax:808-879-0630
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor