Provider Demographics
NPI:1790960466
Name:SHERI EKUKPE D.C.P.A.
Entity Type:Organization
Organization Name:SHERI EKUKPE D.C.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:EKUKPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-291-6363
Mailing Address - Street 1:100 N HIGHWAY 67 STE 5
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2064
Mailing Address - Country:US
Mailing Address - Phone:972-291-6363
Mailing Address - Fax:
Practice Address - Street 1:100 N HIGHWAY 67 STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2064
Practice Address - Country:US
Practice Address - Phone:972-291-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty