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1010 Concord Ave Ste 101, Wilmington, DE 19802-3366 | |
(302) 777-5551 | |
(302) 777-5551 |
Full Name | |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 1010 Concord Ave Ste 101, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295034619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Kyle Lorin Ukrainyc |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790017267 PECOS PAC ID: 1658555404 Enrollment ID: I20110404000135 |
Provider Name | Todd H Bogos |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801837851 PECOS PAC ID: 7416990049 Enrollment ID: I20141016002090 |
Provider Name | Daniel Rufus |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336701036 PECOS PAC ID: 9830427442 Enrollment ID: I20190821000040 |
Provider Name | Erik B Camac |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992398408 PECOS PAC ID: 8426435165 Enrollment ID: I20220518000675 |
Provider Name | Michael J Edenzon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790860476 PECOS PAC ID: 5799810628 Enrollment ID: I20220623001143 |
Provider Name | Patricia A Fanning |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912984204 PECOS PAC ID: 1052479425 Enrollment ID: I20220714001752 |
Mailing Address | Practice Location Address |
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1010 Concord Ave Ste 101, Wilmington, DE 19802-3366 Ph: (302) 777-5551 | 1010 Concord Ave Ste 101, Wilmington, DE 19802-3366 Ph: (302) 777-5551 |