Provider Demographics
NPI:1902081052
Name:FELCHER, GERALD JOSEPH (DC)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:JOSEPH
Last Name:FELCHER
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:PO BOX 711
Mailing Address - Street 2:
Mailing Address - City:KILAUEA
Mailing Address - State:HI
Mailing Address - Zip Code:96754-0711
Mailing Address - Country:US
Mailing Address - Phone:808-828-6844
Mailing Address - Fax:
Practice Address - Street 1:4270 KILAUEA RD
Practice Address - Street 2:
Practice Address - City:KILAUEA
Practice Address - State:HI
Practice Address - Zip Code:96754-5239
Practice Address - Country:US
Practice Address - Phone:808-828-6844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition