Provider Demographics
NPI:1548548878
Name:GENATT, ROY STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:STEVEN
Last Name:GENATT
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 1:1271 MALAIHI RD
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-8708
Mailing Address - Country:US
Mailing Address - Phone:808-242-7813
Mailing Address - Fax:
Practice Address - Street 1:871 KOLU ST STE 101
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1456
Practice Address - Country:US
Practice Address - Phone:808-242-4764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HID.C. -337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor