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DELAWARE INTEGRATIVE HEALTHCARE LLC NPI 1568032027


NPI Information

NPI: 1568032027
Provider Name: DELAWARE INTEGRATIVE HEALTHCARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 08D2115575

Address:
222 S DUPONT HWY STE 203
DOVER, DE
ZIP 19901
Phone: (302) 744-8650
Get Directions

DELAWARE INTEGRATIVE HEALTHCARE LLC is a general practice in Dover, DE. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DELAWARE INTEGRATIVE HEALTHCARE LLC NPI is 1568032027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

222 S DUPONT HWY STE 203
DOVER, DE
ZIP 19901-798
Phone: (302) 744-8650
Fax: (302) 744-8983

The provider's authorized official is Trevor Kent Ennis .
The authorized official title is President/owner and has the following contact phone number (302) 376-5830.

The CLIA number assigned to this NPI record is 08D2115575 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 8/3/2022.


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
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.