Organization · NPI-2

302 Chiropractic

Chiropractor · Lewes, DE

NPI number1174382956
StatusActive
Last updated in NPPESApr 1, 2024

Details

NPI
1174382956
Entity type
Organization (NPI-2)
Legal business name
302 Chiropractic
Organization subpart
No
Enumeration date
Mar 15, 2024
Certification date
Apr 1, 2024
Last updated
Apr 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes
111NP0017X Chiropractor, Pediatric Chiropractor––

Practice location

1200 Savannah Rd
Lewes, DE 19958-1525

Phone 302-747-6262 · Fax 302-736-0380

Mailing address

Po Box 68
Woodside, DE 19980-0068

Authorized official

Megan Epps
Owner
3027476262

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