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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ALLEN CHASE ENNIS, IDC

Active Sole Proprietor

MR. ALLEN CHASE ENNIS, IDC is a Independent Duty Corpsman healthcare provider located in OCEANSIDE, California. NPI 1619310315 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · OCEANSIDE, CA

Registration Details

NPI Number
1619310315
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2013 (13.328220101763 yrs)
Last Updated
Apr 11, 2013
Sole Proprietor
Yes

Practice Information

Address
720 RODEO ST
OCEANSIDE, CA, 920586881
Browse CA providers · Browse ZIP 92058
Phone
9109226128
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in OCEANSIDE, CA

Name Credential NPI
JEREMY URBANOWSKI 1902399199
MR. CHRISTOPHER LEE NEHLEN IDC 1518171305
MR. RAYMOND RUSSELL BECKLEY 1083815831
JUAN CARLOS VAZQUEZ NAVY IDC 1568631539
DAVID JUSTIN TALMADGE 1235382094
SEAN M BAILEY 1164652020
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.