Doctor Name: | DR. ADEDAYO KEHINDE ODEYALE |
NPI Number: | 1306199138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 0104557002 |
Business Practice Address: | 6192 Oxon Hill Rd 102 Oxon Hill, MD - 207453114 |
Business Phone Number: | 3018391111 |
Business Fax Number: | 3015675490 |
Mailing Address: | 6192 Oxon Hill Rd, 102 OXON HILL |
State: | MD |
Postal Code: | 207453114 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/17/2012 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104557002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
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. |