Provider Demographics
NPI:1124033865
Name:PLANNED PARENTHOOD OF DELAWARE, INC.
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF DELAWARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:LYTLE-BARNABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-655-7296
Mailing Address - Street 1:625 N SHIPLEY STREET
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:302-655-7296
Mailing Address - Fax:302-655-1907
Practice Address - Street 1:625 N SHIPLEY ST.
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801
Practice Address - Country:US
Practice Address - Phone:302-655-7296
Practice Address - Fax:602-655-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000022672Medicaid
DEG00017Medicare UPIN