JERRY SLAWSON (NPI# 1275090755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275090755 |
Entity Type | Individual |
Full Name | JERRY SLAWSON |
Practice Address |
412 W Champlain Ave Wilmington DE 19804-2014 |
Mailing Address |
412 W. Champlain Ave. Wilmington DE 19804 |
Practice Telephone | 7579124586 |
Mailing Telephone | 7579124586 |
Enumeration Date | 2019-02-21 |
Last Update Date | 2019-02-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
412 W CHAMPLAIN AVE |
City | WILMINGTON |
State | DE |
Zip Code | 19804-2014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932696283 | Interlink Counseling Services, LLC | Clinic/Center | 102 Larch Ave Ste 101f, Newport, DE 19804 | 2018-04-21 |
1174045066 | Emma Yunyi Yang | Dentist | 6 Larch Ave Ste 402, Wilmington, DE 19804 | 2017-07-12 |
1518312941 | Mark Fisher | Registered Nurse | 13 Main Ave, Wilmington, DE 19804 | 2016-05-04 |
1568857019 | Chrystal Graham | Registered Nurse | 1418 Newport Rd, Wilmington, DE 19804 | 2015-04-01 |
1871993717 | Emily Elizabeth Brokaw | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
1992835201 | H. Donald Jones | Dentist | 1 Winston & Maryland Ave., Wilmington, DE 19804 | 2007-03-06 |
1538211172 | Family Dental Center | Dentist | 1 Winston & Maryland Ave, Wilmington, DE 19804 | 2007-01-16 |
1205236148 | Jeannie Irvine Henriques | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
1497896682 | Avalon Dental LLC | Dentist | 301 S Old Dupont Rd, Ste A, Wilmington, DE 19804-0000 | 2007-02-09 |
1982640041 | Manjul Asthana | Psychologist | C/o Harmonious Mind, 240 N. James St, Ste 111, Newport, DE 19804-0000 | 2006-06-20 |
Find all providers in zip 19804 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565563 | Hanna Kreinbrink | Student in an Organized Health Care Education/Training Program | 365 Darlington Ave Unit 303, Wilmington, NC 28403-1371 | 2020-10-13 |
1548868656 | Ashton Whitley | Student in an Organized Health Care Education/Training Program | 5205 Lord Tennyson Dr, Wilmington, NC 28405-2622 | 2020-10-12 |
1114535275 | Khalid Alabid | Student in an Organized Health Care Education/Training Program | 133 Salem Ct, Wilmington, NC 28411-9745 | 2020-07-15 |
1386261964 | Harjas S Aulakh | Student in an Organized Health Care Education/Training Program | 3549 Silverside Rd # E403, Wilmington, DE 19810-4922 | 2020-06-30 |
1437776499 | Erin Amira Feehan | Student in an Organized Health Care Education/Training Program | 2502 White Rd, Wilmington, NC 28411-6134 | 2020-06-25 |
1851916753 | Denia Cislo | Student in an Organized Health Care Education/Training Program | 3811 Merestone Dr, Wilmington, NC 28412-5184 | 2020-06-16 |
1689294894 | Sheena Sikka | Student in an Organized Health Care Education/Training Program | 401 Justison St Apt 203, Wilmington, DE 19801-5291 | 2020-04-17 |
1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
1457980955 | Faisal Shabbir | Student in an Organized Health Care Education/Training Program | 701 N Clayton St Fl Street2, Wilmington, DE 19805-3165 | 2020-04-06 |
1669000311 | Kye Matthew Williams | Student in an Organized Health Care Education/Training Program | 501 W 14th St # A, Wilmington, DE 19801-1013 | 2020-03-30 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 19804 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.