Inline Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004209151 Issued in DE

Legal business name

INLINE CHIROPRACTIC

Practice address

3500 Naamans Rd
Suite 15 D
Wilmington, DE 19810-1009

Phone

(302) 478-9301

Fax

(302) 478-9304

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Michael Anothony Gondolfo, D.C.

Title

President

Phone

(302) 478-9301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750446795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NAAMANS RD",
            "address_2": "SUITE 15 D",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198101009",
            "telephone_number": "302-478-9301",
            "fax_number": "302-478-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NAAMANS RD",
            "address_2": "SUITE 15 D",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198101009",
            "telephone_number": "302-478-9301",
            "fax_number": "302-478-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONDOLFO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANOTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-478-9301",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "2004209151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.