ENSLEY CHIROPRACTIC INC. NPI 1609175447

NPI Information

NPI: 1609175447
Provider Name: ENSLEY CHIROPRACTIC INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1313 TRAVIS BLVD
SUITE B
FAIRFIELD, CA
ZIP 94533
Phone: (707) 426-3655
Get Directions

ENSLEY CHIROPRACTIC INC. is a chiropractor in Fairfield, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ENSLEY CHIROPRACTIC INC. NPI is 1609175447. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1313 TRAVIS BLVD
SUITE B
FAIRFIELD, CA
ZIP 94533-621
Phone: (707) 426-3655

The provider's authorized official is Robert Dana Ensley .
The authorized official title is President and has the following contact phone number (707) 426-3655.

The enumeration date for this NPI number is 3/18/2011 and was last updated on 5/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC012399	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12399	OTHER	CALIFORNIA	LICENSE
2	T04745	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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