Healthcare Provider Details

I. General information

NPI: 1548244551
Provider Name (Legal Business Name): PATRICK A ENSMINGER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 06/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 NILES CORTLAND RD NE
WARREN OH
44484-1938
US

IV. Provider business mailing address

260 NILES CORTLAND RD NE
WARREN OH
44484-1938
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-9000
  • Fax: 330-856-3942
Mailing address:
  • Phone: 330-372-9000
  • Fax: 330-856-3942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberOH1693
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: