Provider Demographics
NPI:1124514013
Name:ESKEW CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:ESKEW CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ESKEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-776-1197
Mailing Address - Street 1:1309 S EUCLID ST STE A
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-2078
Mailing Address - Country:US
Mailing Address - Phone:714-718-2432
Mailing Address - Fax:714-776-1292
Practice Address - Street 1:1309 S EUCLID ST STE A
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-2078
Practice Address - Country:US
Practice Address - Phone:714-718-2432
Practice Address - Fax:714-776-1292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14840OtherDC14840