Doctor Name: | DR. OLUWASEUN T AWOBUSUYI |
NPI Number: | 1477831790 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH 10378 |
Business Practice Address: | 2415 S Babcock St Suite C Melbourne, FL - 329015369 |
Business Phone Number: | 3214090021 |
Business Fax Number: | 3214090027 |
Mailing Address: | 2415 S Babcock St, Suite C MELBOURNE |
State: | FL |
Postal Code: | 329015369 |
Phone Number: | 3214090021 |
Fax Number: | 3214090027 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 10378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |