Provider Demographics
NPI:1619988524
Name:BRIGGS, DOUGLAS R (DC, DIPLAC,(IAMA))
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:R
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:DC, DIPLAC,(IAMA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 CAPITOL TRL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5716
Mailing Address - Country:US
Mailing Address - Phone:302-454-1230
Mailing Address - Fax:302-454-5855
Practice Address - Street 1:910 N UNION ST STE 3
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-5334
Practice Address - Country:US
Practice Address - Phone:302-654-4001
Practice Address - Fax:302-654-4112
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECQ-0000037171100000X
DEDEF10000398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEBR877493Medicare PIN
DEU66180Medicare UPIN