| Delaware Integrative Healthcare Llc | |
|
421 E Main St Ste 6, Middletown, DE 19709-1463 | |
| (302) 376-5830 | |
| (302) 376-6517 |
| Full Name | Delaware Integrative Healthcare Llc |
|---|---|
| Type | Facility |
| Speciality | General Practice |
| Location | 421 E Main St Ste 6, Middletown, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225500093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Trevor K Ennis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316198005 PECOS PAC ID: 5395804298 Enrollment ID: I20081106000792 |
| Provider Name | Rebecca Keeley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508016536 PECOS PAC ID: 3971663808 Enrollment ID: I20081121000047 |
| Provider Name | Kirk C Evans |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942329354 PECOS PAC ID: 1658412333 Enrollment ID: I20091231000411 |
| Provider Name | Julie E Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164877825 PECOS PAC ID: 3577854132 Enrollment ID: I20160629000825 |
| Provider Name | Juewuo A Reeves |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134741002 PECOS PAC ID: 6608297965 Enrollment ID: I20200522001878 |
| Provider Name | Nicole S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730302233 PECOS PAC ID: 3678998127 Enrollment ID: I20210316002171 |
| Provider Name | Dallas L Mastin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255929022 PECOS PAC ID: 0749698850 Enrollment ID: I20210408002798 |
| Provider Name | Ashley M Samsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629649991 PECOS PAC ID: 2860895109 Enrollment ID: I20210726000428 |
| Provider Name | Colton Gervais |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710652185 PECOS PAC ID: 2264838630 Enrollment ID: I20210909003234 |
| Provider Name | Philip Richard Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831636190 PECOS PAC ID: 8628316726 Enrollment ID: I20230805000067 |
| Provider Name | Kristina Renee Borcky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194405837 PECOS PAC ID: 7517320641 Enrollment ID: I20230823000134 |
| Provider Name | Ryan D Ross |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770247207 PECOS PAC ID: 4486004900 Enrollment ID: I20231226001451 |
| Provider Name | Shakira N Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831550300 PECOS PAC ID: 7113225970 Enrollment ID: I20250606001511 |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Integrative Healthcare Llc 421 E Main St Ste 6, Middletown, DE 19709-1463 Ph: (302) 376-5830 | Delaware Integrative Healthcare Llc 421 E Main St Ste 6, Middletown, DE 19709-1463 Ph: (302) 376-5830 |