Individual
TREVOR KENT ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
421 E MAIN ST STE 6, MIDDLETOWN, DE 19709-1463
(302) 376-5830
(302) 376-6517
Mailing address
421 E MAIN ST STE 6, MIDDLETOWN, DE 19709-1463
(302) 376-5830
(302) 376-6517
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
F1-0000721
DE
208D00000X
General Practice Physician
F1-0000721
DE
Other
Enumeration date
10/01/2008
Last updated
04/23/2020
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