Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 01-04678 | KS |
NPI | 1306934120 |
---|---|
Provider Name | Dr. Michael Nmi Esparza |
First Address | Wichita, KS 67212 |
Second Address | Wichita, KS 67212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |