Doctor Name: | DR. EDEN ALEMAYEHU WUBANTE |
NPI Number: | 1598992711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 0104556709 |
Business Practice Address: | 5801 Quantrell Ave 502 Alexandria, VA - 223122715 |
Business Phone Number: | 5712342969 |
Business Fax Number: | 7033791099 |
Mailing Address: | 5801 Quantrell Ave, 502 ALEXANDRIA |
State: | VA |
Postal Code: | 223122715 |
Phone Number: | 5712342969 |
Fax Number: | 7033791099 |
NPI Enumeration Date: | 06/15/2009 |
NPI Last Update Date: | 06/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104556709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |