MEDICARE: EMMANUEL U ONUZURUIKE, DC

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	111NR0400X	Rehabilitation Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26131019	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1760602056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMMANUEL U ONUZURUIKE, DC

Provider Business Mailing Address
First Line	:	6301 ROCKHILL RD
Second Line	:	SUITE 403
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1124
Country	:	US
Telephone Number	:	816-523-4023
Fax Number	:	816-523-4623

Provider Business Practice Location Address
First Line	:	6301 ROCKHILL RD
Second Line	:	SUITE 403
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1117
Country	:	US
Telephone Number	:	816-523-4023
Fax Number	:	816-523-4623

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EMMANUEL U ONUZURUIKE
Credential	:	DC
Telephone Number	:	816-523-4023

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	08/22/2020

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