Provider Demographics
NPI:1760958771
Name:DURNEY, PHILIP ANDREW JR
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:ANDREW
Last Name:DURNEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3123
Mailing Address - Country:US
Mailing Address - Phone:302-563-4562
Mailing Address - Fax:
Practice Address - Street 1:1425 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3123
Practice Address - Country:US
Practice Address - Phone:302-563-4562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications