1851520266 NPI number — WARD CHIROPRACTIC

Table of content: (NPI 1851520266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851520266 NPI number — WARD CHIROPRACTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WARD CHIROPRACTIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851520266
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 BAYNARD BLVD
Provider Second Line Business Mailing Address:
LOWER LEVEL
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19802-3900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-225-9000
Provider Business Mailing Address Fax Number:
302-225-9005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4073 ROUTE 9 N
Provider Second Line Business Practice Location Address:
RETRO FITNESS CENTER
Provider Business Practice Location Address City Name:
HOWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07731-3307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-225-9000
Provider Business Practice Location Address Fax Number:
302-225-9005
Provider Enumeration Date:
07/07/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WARD
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
WINFIELD
Authorized Official Title or Position:
CHIROPRACTOR / OWNER
Authorized Official Telephone Number:
302-225-9000

Provider Taxonomy Codes

  • Taxonomy code: 111NR0400X , with the licence number:  F10000477 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)