Provider Demographics
NPI:1801018114
Name:ENOS CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:ENOS CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ENOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-921-6550
Mailing Address - Street 1:535 CENTERVILLE ROAD
Mailing Address - Street 2:SUITE 302-A
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-921-6550
Mailing Address - Fax:
Practice Address - Street 1:535 CENTERVILLE ROAD
Practice Address - Street 2:SUITE 302-A
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-921-6550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI323446OtherBCBS
RI409286OtherBLUECHIP
RI215055OtherUNITED HEALTH
RI409286OtherBLUECHIP