John Richard Ennen in Tustin - Nutrition

John Richard Ennen - NPI 1598980344

John Richard Ennen is a Nutrition in Tustin, California. John Richard Ennen practices all healthcare services and medical treatments related to Nutrition. The NPI Number for John Richard Ennen is 1598980344. The last update date is 2007-07-08.

John Richard Ennen's current location address is 13420 Newport Ave, Tustin, California. You can contact this provider via phone number 7146693105 and fax number 7146693108. The mailing address for John Richard Ennen is 13420 Newport Ave, Tustin, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Richard Ennen
Address 13420 Newport Ave, Tustin, California
Phone Number 7146693105
Fax Number 7146693108
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1598980344
Provider Enumeration Date 2007-04-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13420 Newport Ave
City Tustin
State California (CA)
Post Code 927803745
Phone Number 7146693105
Fax Number 7146693108

Provider's Primary Taxonomy Detail

Speciality Nutrition
Taxonomy 111Nn1001X
Licence No DC 25433
Definition:
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic

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FAQs about John Richard Ennen

What is the unique identifier code issued to John Richard Ennen by the Centers for Medicare & Medicaid Services (CMS)?

The John Richard Ennen has been assigned the NPI (National Provider Identifier) 1598980344. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where John Richard Ennen is physically located?

The John Richard Ennen is physically situated at the following address: 13420 Newport Ave, Tustin, CA, 927803745.

What is the John Richard Ennen's area of specialization and corresponding taxonomy classification?

The John Richard Ennen's specialty field is Nutrition, and it falls under the taxonomy code 111Nn1001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1598980344 to John Richard Ennen?

The Centers for Medicare & Medicaid Services originally issued the 1598980344 to John Richard Ennen on 2007-04-16.

When was the information regarding John Richard Ennen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Richard Ennen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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