Provider Demographics
NPI:1821526781
Name:LEWES SPINE CENTER LLC
Entity Type:Organization
Organization Name:LEWES SPINE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:PFAFF
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:302-231-4333
Mailing Address - Street 1:18947 JOHN J WILLIAMS HWY
Mailing Address - Street 2:MEDICAL ARTS BUILDING, UNIT 311
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-4477
Mailing Address - Country:US
Mailing Address - Phone:302-231-4333
Mailing Address - Fax:302-231-4414
Practice Address - Street 1:18947 JOHN J WILLIAMS HWY BLDG UNIT311
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4474
Practice Address - Country:US
Practice Address - Phone:302-231-4333
Practice Address - Fax:302-231-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty