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DELAWARE PRIMARY CARE LLC NPI 1104852300


NPI Information

NPI: 1104852300
Provider Name: DELAWARE PRIMARY CARE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 08D2298938

Address:
810 NEW BURTON RD
SUITE 3
DOVER, DE
ZIP 19904
Phone: (302) 730-0554
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DELAWARE PRIMARY CARE LLC is an internal medicine in Dover, DE. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DELAWARE PRIMARY CARE LLC NPI is 1104852300. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

810 NEW BURTON RD
SUITE 3
DOVER, DE
ZIP 19904-451
Phone: (302) 730-0554
Fax: (302) 730-1175

The provider's authorized official is Alisha T Patrickcooks .
The authorized official title is Billing Department and has the following contact phone number (302) 730-0554.

The CLIA number assigned to this NPI record is 08D2298938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 10/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineC10005391DELAWARENo
2207R00000XInternal MedicineC10005294DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERDELAWAREGROUP TAX ID
2G00726MEDICARE ID-TYPE UNSPECIFIEDDELAWAREGROUP PROIVER NUMBER
3CK3544OTHERDELAWAREPALMETTO GBA
40001165602MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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