Doctor Name: | DR. BRIAN ALLEN ENEBO |
NPI Number: | 1073569505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 4445 |
Business Practice Address: | 1635 Ursula St Suite #5501 Aurora, CO - 800107402 |
Business Phone Number: | 7208481090 |
Business Fax Number: | 7208481277 |
Mailing Address: | Po Box 6503, Integrative Medicine Program Uch AURORA |
State: | CO |
Postal Code: | 800450503 |
Phone Number: | 3037245000 |
Fax Number: | 3037245816 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |