Provider Demographics
NPI:1003185844
Name:CHIRA, UCHENNA CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:UCHENNA
Middle Name:CHARLES
Last Name:CHIRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 BLUE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-4148
Mailing Address - Country:US
Mailing Address - Phone:816-886-7261
Mailing Address - Fax:816-886-7263
Practice Address - Street 1:6124 BLUE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-4148
Practice Address - Country:US
Practice Address - Phone:816-886-7261
Practice Address - Fax:816-886-7263
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011038410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor