Ennis, Christopher R
Ennis, Christopher R is an individual health care provider with primary practice located at 1515 Hanes Mall Blvd , Winston Salem NC 27103-1358. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ennis, Christopher R can be contacted via phone (336) 773-7373.Contact Information
Primary practice address
1515 Hanes Mall Blvd
Winston Salem NC 27103-1358
Phone: (336) 773-7373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4651 | North Carolina |
Profile Details
| NPI number | 1023561875 |
|---|---|
| LBN Legal business name | Ennis, Christopher R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2016 |
| Last updated | Jul 28th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023561875 | NPPES |
| North Carolina | MEDICAID | 89016AP |
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