MEDICARE: DR. UCHENNA ABBA ONYEANI D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010152	PA
2	111N00000X	Chiropractor	38MC00678700	NJ

General Provider Information

NPI Number	:	1205161460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UCHENNA ABBA ONYEANI D.C

Provider Business Mailing Address
First Line	:	1114 W CHESTNUT ST
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-6764
Country	:	US
Telephone Number	:	908-612-4592
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 MORRIS AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4850
Country	:	US
Telephone Number	:	908-612-4592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2009
Last Update Date	:	09/21/2011

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