Provider Demographics
NPI:1639442163
Name:ESPOSITO, ENRICO NATALE (DC, ATC, CSCS)
Entity type:Individual
Prefix:DR
First Name:ENRICO
Middle Name:NATALE
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:DC, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27260 CHARLES WESLEY LN
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8322
Mailing Address - Country:US
Mailing Address - Phone:251-625-4491
Mailing Address - Fax:
Practice Address - Street 1:27260 CHARLES WESLEY LN
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-8322
Practice Address - Country:US
Practice Address - Phone:251-625-4491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2095111N00000X
AL0402020112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer