JERRYLEE OTIMEYE EJUWA


Address: 1025 S Main St Ste 305, Grapevine, TX 76051-7506
Phone: 8172510550

JERRYLEE OTIMEYE EJUWA (NPI# 1295007326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295007326
Entity Type Individual
Full Name JERRYLEE OTIMEYE EJUWA
Credential D.C
Practice Address 1025 S Main St Ste 305
Grapevine
TX 76051-7506
Practice Telephone 8172510550
Practice Fax Number 8172510599
Mailing Telephone 8172510550
Mailing Fax Number 8172510599
Enumeration Date 2012-02-06
Last Update Date 2020-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 11959 TX Chiropractic Providers

Office Location

Street Address 1025 S MAIN ST STE 305
City GRAPEVINE
State TX
Zip Code 76051-7506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316489156 Align Health Pllc Physical Medicine & Rehabilitation 1025 S Main St Ste 305, Grapevine, TX 76051-7506 2016-11-10

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NPI Name Taxonomy Address Enumeration
1881227346 Jeffrey Joseph Cervenka Physical Therapist 2421 Ira E Woods Ave #101, Grapevine, TX 76051 2020-02-12
1871137562 Karen Lorince Counselor 2409 N. Support Road, Grapevine, TX 76051 2019-11-05
1548733785 Jessica Thorman Johnson Dietitian, Registered 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 2019-01-10
1164928958 Kristen Diou Counselor 913 S Church St Ste 103, Grapevine, TX 76051 2018-04-02
1356860597 Anissa Singratanakul D.m.d, Pllc Dentist 1231 William D Tate Suite 400, Grapevine, TX 76051 2017-09-19
1033637665 James Abraham Thomas Pharmacy 1601 W. State Hwy 114, Grapevine, TX 76051 2017-09-04
1437606563 D'anna Sims Counselor 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 2016-09-07
1477006369 Melinda Jeanne Mashburn Nurse Practitioner 1600 West College St., Suite 60, Grapevine, TX 76051 2016-07-27
1437506623 Allcare Physicians Group Registered Nurse 1111 S Main St Ste 119, Grapevine, TX 76051 2016-05-18
1790141745 Colwick Counseling Clinic/Center 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 2016-01-06
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457868390 Natalie Marie Moore Chiropractor 3500 William D Tate Ave Ste 175, Grapevine, TX 76051-8749 2017-12-31
1710402862 Tony Wayne Kelsoe Chiropractor 3264 Shady Glen Dr, Grapevine, TX 76051-6502 2017-08-10
1568902047 Kael Moulton Chiropractor 1450 Hughes Rd Ste 250, Grapevine, TX 76051-7364 2017-03-02
1710437090 Daniel Lee Van Ackeren Chiropractor 3036 Thomas Ct, Grapevine, TX 76051-4768 2016-10-10
1205228095 Grapevine Chiropractic LLC Chiropractor 2011 W Northwest Hwy, Ste 130, Grapevine, TX 76051-7857 2015-03-03
1699020594 Dean Allen Dc Chiropractor 1244 William D Tate Ave, Grapevine, TX 76051-4030 2012-07-17
1942501754 James Matthew Dreadfulwater Chiropractor 2140 Hall Johnson Rd Ste 115, Grapevine, TX 76051-8754 2010-11-10
1588894794 Synergy Wellness & Chiropractic, Pllc Chiropractor 2011 W Northwest Hwy Ste 130, Grapevine, TX 76051-7853 2009-07-22
1548490873 Genesis Back and Neck Chiropractor 520 E Northwest Hwy Ste 102, Grapevine, TX 76051-6298 2009-07-21
1568609410 Monroe Chiropractic & Sports Therapy, P.a. Chiropractor 2200 Pool Rd, Suite 108, Grapevine, TX 76051-4266 2009-01-14
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Competitor

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City GRAPEVINE
Zip Code 76051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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