Provider Demographics
NPI:1750539714
Name:ESPINAS, ANTHONY RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RICHARD
Last Name:ESPINAS
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 1:2606 PEDDLERS VILLAGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-1004
Mailing Address - Country:US
Mailing Address - Phone:574-529-3215
Mailing Address - Fax:
Practice Address - Street 1:2606 PEDDLERS VILLAGE RD STE 200
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-1004
Practice Address - Country:US
Practice Address - Phone:574-529-3215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININ08003019A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor