Provider Demographics
NPI:1457855884
Name:ONWUANAIBE, SOROIBE (DC)
Entity Type:Individual
Prefix:DR
First Name:SOROIBE
Middle Name:
Last Name:ONWUANAIBE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MARKS MANOR CT
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-1304
Mailing Address - Country:US
Mailing Address - Phone:443-768-2769
Mailing Address - Fax:
Practice Address - Street 1:6 MARKS MANOR CT
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-1304
Practice Address - Country:US
Practice Address - Phone:443-768-2769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor