Provider Demographics
NPI:1548328511
Name:HERSI-ESSA, AYAN ABDULLAHI (DC)
Entity type:Individual
Prefix:DR
First Name:AYAN
Middle Name:ABDULLAHI
Last Name:HERSI-ESSA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 SUDLEY RD STE 115
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4750
Mailing Address - Country:US
Mailing Address - Phone:571-292-2600
Mailing Address - Fax:703-393-6645
Practice Address - Street 1:8811 SUDLEY RD STE 115
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4750
Practice Address - Country:US
Practice Address - Phone:571-292-2600
Practice Address - Fax:703-393-6645
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556214111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation