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Contact Information

JUSTIN J PETERSEN, D.C.
2176 LAUWILIWILI ST STE 5A
KAPOLEI, HI96707-1882
 Phone: 808-425-7092
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JUSTIN J PETERSEN · (Male)

NPI # 1245213008
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/25/2005
Last updated 06/04/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 413
  • AZ License # 7633
  • HI License # DC1401
  • ID License # CHIA-1344
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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