Provider Demographics
NPI:1548608193
Name:HENLOPEN CHIROPRACTIC AND ACUPUNCTURE, PA
Entity Type:Organization
Organization Name:HENLOPEN CHIROPRACTIC AND ACUPUNCTURE, PA
Other - Org Name:HENLOPEN CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:HUDSON
Authorized Official - Last Name:STANGANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-542-9370
Mailing Address - Street 1:1632 SAVANNAH RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1659
Mailing Address - Country:US
Mailing Address - Phone:302-644-1420
Mailing Address - Fax:302-313-5629
Practice Address - Street 1:1632 SAVANNAH RD STE 2
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1659
Practice Address - Country:US
Practice Address - Phone:302-644-1420
Practice Address - Fax:302-313-5629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty