Provider Demographics
NPI:1427876937
Name:AMARA, CHUKWUEMEKA (ND)
Entity type:Individual
Prefix:
First Name:CHUKWUEMEKA
Middle Name:
Last Name:AMARA
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 SAN PEDRO DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-6099
Mailing Address - Country:US
Mailing Address - Phone:608-397-9429
Mailing Address - Fax:
Practice Address - Street 1:1548 BOISE AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4215
Practice Address - Country:US
Practice Address - Phone:970-669-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath