Provider Demographics
NPI:1700192275
Name:ENYERIBE, CHIOMA JANE-FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:JANE-FRANCES
Last Name:ENYERIBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHIOMA
Other - Middle Name:JANE-FRANCES
Other - Last Name:ACHILIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-263-9555
Practice Address - Fax:717-217-4218
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08785000207Q00000X
PAMD441892207Q00000X, 208M00000X
TXQ1142207Q00000X
DEC1-0012568207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102765640 0002Medicaid
PA102765640 0002Medicaid