| Diamond State Chiropractic Pa | |
|
1101 Twin C Ln Ste 201, Newark, DE 19713-2159 | |
| (302) 892-9355 | |
| (302) 892-3494 |
| Full Name | Diamond State Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1101 Twin C Ln Ste 201, Newark, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952346538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Gregory Joseph Serge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033166707 PECOS PAC ID: 5799721940 Enrollment ID: I20050628001339 |
| Provider Name | Debra K Brady |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740338318 PECOS PAC ID: 0143416420 Enrollment ID: I20101129000747 |
| Provider Name | Todd H Bogos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801837851 PECOS PAC ID: 7416990049 Enrollment ID: I20141016002090 |
| Provider Name | John R Booth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487085924 PECOS PAC ID: 0345543070 Enrollment ID: I20160129000651 |
| Provider Name | Michael J Edenzon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790860476 PECOS PAC ID: 5799810628 Enrollment ID: I20220623001143 |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond State Chiropractic Pa 1101 Twin C Ln Ste 201, Newark, DE 19713-2159 Ph: (302) 892-9355 | Diamond State Chiropractic Pa 1101 Twin C Ln Ste 201, Newark, DE 19713-2159 Ph: (302) 892-9355 |
Dr. Kristi Dillon, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 87b Omega Dr, Newark, DE 19713 Phone: 302-733-0980 Fax: 302-733-7495 | |
Gregory J Serge, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1101 Twin C Ln Ste 201, Newark, DE 19713 Phone: 302-892-9355 Fax: 302-892-3494 | |
Dr. Deana Marie Burd, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 300 Christiana Medical Ctr, Newark, DE 19702 Phone: 302-731-0869 Fax: 302-292-0669 | |
Spinal Specialists Of Delaware Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 300 Christiana Medical Ctr, Newark, DE 19702 Phone: 302-731-0869 Fax: 302-292-0669 | |
Renu Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 907 S College Ave, Newark, DE 19713 Phone: 302-368-0124 | |
Rehab And Wellness Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2600 Glasgow Ave Ste 120, Newark, DE 19702 Phone: 302-836-8200 | |
Dr. Marie Swasy, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 89 Omega Dr Ste 89, Newark, DE 19713 Phone: 302-332-3312 |