Trolley Square Pain Relief Ctr

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008807 Issued in PA

Legal business name

TROLLEY SQUARE PAIN RELIEF CTR

Practice address

1523 Delaware Ave
Wilmington, DE 19806-3005

Phone

(302) 421-3660

Fax

(302) 421-3662

NPI assigned

Dec 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Fuller, DC

Title

Owner

Phone

(302) 421-3660

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1578747960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063005",
            "telephone_number": "302-421-3660",
            "fax_number": "302-421-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063005",
            "telephone_number": "302-421-3660",
            "fax_number": "302-421-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROLLEY SQUARE PAIN RELIEF CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-421-3660",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629135942",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sixto Rey Troche Sr., CADC
• Marta Sharon Troiani, NP
• Michelle A Troise, MS CCC-SLP
• Trolley Square Chiropractic
• Trolley Square Open MRI and Imaging Center, LLC
• Madison Trone
• Victoria Ann Trone, RN
• Kristine Michelle Trotter, PAC
• Paige Troublefield, MSOT, OTR/L
• Adelle Trout, MSN, APRN

• Chiropractor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.