Provider Demographics
NPI:1821325788
Name:DELAWARE INTEGRATIVE HEALTHCARE
Entity Type:Organization
Organization Name:DELAWARE INTEGRATIVE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WAJH
Authorized Official - Middle Name:
Authorized Official - Last Name:RABAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-334-2225
Mailing Address - Street 1:2123 W NEWPORT PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3719
Mailing Address - Country:US
Mailing Address - Phone:302-994-2225
Mailing Address - Fax:
Practice Address - Street 1:2123 W NEWPORT PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3719
Practice Address - Country:US
Practice Address - Phone:302-994-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty