Individual
DR. EBENEZER O-A BILEWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
76 W JIMMIE LEEDS RD STE 301, GALLOWAY, NJ 08205-9418
(609) 573-5310
(606) 573-5310
Mailing address
76 W JIMMIE LEEDS RD STE 301, GALLOWAY, NJ 08205-9418
(609) 573-5310
(609) 241-1922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00702600
NJ
111NN0400X
Neurology Chiropractor
38MC00702600
NJ
111NN1001X
Nutrition Chiropractor
38MC00702600
NJ
111NP0017X
Pediatric Chiropractor
38MC00702600
NJ
111NR0200X
Radiology Chiropractor
38MC00702600
NJ
111NR0400X
Rehabilitation Chiropractor
38MC00702600
NJ
111NS0005X
Sports Physician Chiropractor
38MC00702600
NJ
111NX0100X
Occupational Health Chiropractor
38MC00702600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3893359000
AMERIHEALTH NEW JERSEY
NJ
01
—
3893360000
AMERIHEALTH NEW JERSEY
NJ
01
—
60114338
HORIZON NJ HEALTH
NJ
Enumeration date
07/18/2012
Last updated
07/21/2022
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