Ensley, Robert Dana
Ensley, Robert Dana is an sole proprietor health care provider with primary practice located at 1313 Travis Blvd Suite B, Fairfield CA 94533-4621. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ensley, Robert Dana can be contacted via phone (707) 426-3655.Contact Information
Primary practice address
1313 Travis Blvd Suite B
Fairfield CA 94533-4621
Phone: (707) 426-3655
Fax: (707) 426-3656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 12399 | California |
Profile Details
| NPI number | 1346300282 |
|---|---|
| LBN Legal business name | Ensley, Robert Dana |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346300282 | NPPES |
| California | Other | 12399 | LICENSE # |
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