Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2011038410 | MO |
NPI | 1003185844 |
---|---|
Provider Name | Dr. Uchenna Charles Chira |
First Address | Raytown, MO 64133-4148 |
Second Address | Raytown, MO 64133-4148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2011 |
Last Update Date | 23/12/2011 |