Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 0 | MN |
NPI | 1477718138 |
---|---|
Provider Name | Dr. Ekele Enyinnaya |
First Address | Washington, DC 20005-4604 |
Second Address | Washington, DC 20005-4604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 08/02/2022 |