Provider Demographics
NPI:1538633417
Name:DRIG, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DRIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96-239 WAIAWA RD # HOUSEB
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3601
Mailing Address - Country:US
Mailing Address - Phone:808-748-9413
Mailing Address - Fax:808-671-7108
Practice Address - Street 1:96-239 WAIAWA RD # HOUSEB
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3601
Practice Address - Country:US
Practice Address - Phone:808-748-9413
Practice Address - Fax:808-671-7108
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide