Provider Demographics
NPI:1699833749
Name:WARD, PATRICK WINFIELD (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:WINFIELD
Last Name:WARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 PENNSYLVANIA AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-1332
Mailing Address - Country:US
Mailing Address - Phone:302-225-9000
Mailing Address - Fax:302-225-9005
Practice Address - Street 1:2323 PENNSYLVANIA AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806
Practice Address - Country:US
Practice Address - Phone:302-225-9000
Practice Address - Fax:302-225-9005
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000477111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE200196685Medicaid