VINTAGE CHIROPRACTIC NPI 1912459769

NPI Information

  • NPI: 1912459769
  • Provider Name: VINTAGE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 2305 W 12TH ST
    APT 2
    WILMINGTON, DE
    ZIP 19805
  • Phone: (302) 363-8758

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NPI Details

VINTAGE CHIROPRACTIC is a chiropractor in Wilmington, DE. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. VINTAGE CHIROPRACTIC NPI is 1912459769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2305 W 12TH ST
APT 2
WILMINGTON, DE
ZIP 19805-609
Phone: (302) 363-8758

The provider's authorized official is Gloria Kirsena Stone .
The authorized official title is Chiropractor and has the following contact phone number (302) 363-8758.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 10/27/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorF1-0000943DELAWAREYes

What is NPI?

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This page was last updated on: 11/21/2025

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