Delaware Chiro & Rehab, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20141009154 Issued in DE

Legal business name

DELAWARE CHIRO & REHAB, INC.

Practice address

100 Market St
Bridgeville, DE 19933-1127

Phone

(302) 956-0034

Fax

(302) 956-0643

NPI assigned

Nov 29, 2014

Last updated

Nov 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanes Polynice

Title

Owner

Phone

(323) 455-6804

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417219200000",
    "number": "1700283272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199330129",
            "telephone_number": "302-956-0034",
            "fax_number": "302-956-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET ST",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199331127",
            "telephone_number": "302-956-0034",
            "fax_number": "302-956-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE CHIRO & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-29",
        "last_updated": "2014-11-29",
        "status": "A",
        "authorized_official_last_name": "POLYNICE",
        "authorized_official_first_name": "JOANES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-455-6804"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "20141009154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2014; 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.