FIRST STATE SPINAL REHABILITATION LLC (NPI# 1710538319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710538319 |
| Entity Type | Organization |
| Organization Name | FIRST STATE SPINAL REHABILITATION LLC |
| Practice Address |
2500 W 4th St Ste 4 Wilmington DE 19805-3352 |
| Mailing Address |
9044 Se Bridge Rd Hobe Sound FL 33455-5313 |
| Practice Telephone | 7725469591 |
| Mailing Telephone | 7725469591 |
| Mailing Fax Number | 7725469535 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MS. JENEANE MARIE WAKULA (OFFICE MANAGER) |
| Authorized Official Telephone | 7725469591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
2500 W 4TH ST STE 4 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028504 | Kyle Ukrainyc Dc LLC | Chiropractor | 1600 N Washington St Fl 2, Wilmington, DE 19802-4722 | 2020-09-21 |
| 1891306676 | John A. Pirritano, Portofino Chiropractic | Chiropractor | 601 N Avalon Blvd Ste A, Wilmington, CA 90744-5871 | 2020-08-13 |
| 1386252922 | Thomas Chiropractic, Inc. | Chiropractor | 200 Jefferson Rd Ste 106, Wilmington, MA 01887-1999 | 2020-07-20 |
| 1013540830 | Yekaterina Grinchak | Chiropractor | 3411 Silverside Rd Ste 102, Wilmington, DE 19810-4812 | 2020-02-20 |
| 1972140978 | Caitlyn Helene Demetrious | Chiropractor | 7491 Market St # A, Wilmington, NC 28411-9454 | 2019-12-09 |
| 1396382776 | Alexis Demetrious | Chiropractor | 7649 Market St, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1922645209 | Grant Gowing | Chiropractor | 7491 Market St Ste A, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1366089690 | Delaware Spine | Chiropractor | 1117 N Franklin St Ste A, Wilmington, DE 19806-4331 | 2019-12-05 |
| 1679036826 | Taylor Cox | Chiropractor | 1319 Military Cutoff Rd Ste Ll, Wilmington, NC 28405-3640 | 2019-04-12 |
| 1083175426 | Kelly B Van Campen | Chiropractor | 3825 Market St Ste 1, Wilmington, NC 28403-1426 | 2019-03-28 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19805 |
Please comment or provide details below to improve the information on FIRST STATE SPINAL REHABILITATION LLC.
| 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.