Provider Demographics
NPI:1538404876
Name:DON HARADA DC INC.
Entity type:Organization
Organization Name:DON HARADA DC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:TAKEO
Authorized Official - Last Name:HARADA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-947-7575
Mailing Address - Street 1:1580 MAKALOA ST. #798
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-947-7575
Mailing Address - Fax:808-941-4026
Practice Address - Street 1:1580 MAKALOA ST #798
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-947-7575
Practice Address - Fax:808-941-4026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DON HARADA DC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI050393OtherHAWAII MEDICAL SERVICE ASSOC
HI050393OtherHAWAII MEDICAL SERVICE ASSOC
HIH0000QCBSFMedicare PIN