MR. GLEN ANDREW COLLEN (NPI# 1275737520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275737520 |
| Entity Type | Individual |
| Full Name | MR. GLEN ANDREW COLLEN |
| Credential | LMT5268 LAC GC579 |
| Practice Address |
1051 Keolu Dr Enchanted Lakes Massage Clinic Suite 104 Kailua HI 96734 |
| Mailing Address |
449 Kailua Rd C3 Kailua HI 96734 |
| Practice Telephone | 8082626563 |
| Mailing Telephone | 8082611024 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 171100000X | Acupuncturist | 579LAC | HI | Other Service Providers |
| X | 225700000X | Massage Therapist | LMT5268 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1051 KEOLU DR ENCHANTED LAKES MASSAGE CLINIC SUITE 104 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245308188 | Lois K Ifft | Specialist | 1051 Keolu Dr, 104b, Kailua, HI 96734-3847 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656501 | Yoleida Paez I | Acupuncturist | 22 Oneawa St Ste C, Kailua, HI 96734-2527 | 2019-12-16 |
| 1821512864 | Alicia Yang | Acupuncturist | 270 Kuulei Rd Ste 205, Kailua, HI 96734-2755 | 2017-08-01 |
| 1073056180 | Ryoko Ito | Acupuncturist | 667 Auwina St, Kailua, HI 96734-3430 | 2016-11-21 |
| 1336547348 | Dahlia Bursell | Acupuncturist | 22 Oneawa St Ste A, Kailua, HI 96734-2527 | 2014-12-08 |
| 1851705081 | Paige Markham | Acupuncturist | 355 Aoloa St Apt K201, Kailua, HI 96734-3047 | 2014-06-16 |
| 1598043341 | Elizabeth Ross | Acupuncturist | 1051 Keolu Dr Ste 104b, Kailua, HI 96734-3800 | 2011-07-28 |
| 1770807349 | Akemi Nakagawa Bischoff | Acupuncturist | 22 Oneawa St., #d, Kailua, HI 96734 | 2010-03-25 |
| 1235361338 | Ginger Akuna | Acupuncturist | 320 Uluniu St Ste 2, Kailua, HI 96734-2529 | 2009-08-22 |
| 1386883437 | Margaret Irene Blaser | Acupuncturist | 415 Uluniu St Ste A, Kailua, HI 96734-2503 | 2009-02-12 |
| 1336292903 | Nina Kapfer | Acupuncturist | 600 Kailua Rd Ste 201, Kailua, HI 96734-2869 | 2007-01-18 |
| Find all providers in KAILUA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.