Provider Demographics
NPI:1871674325
Name:WENDEL, PATRICIA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANNE
Last Name:WENDEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:ANNE
Other - Last Name:KERSHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 4480
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19807-0480
Mailing Address - Country:US
Mailing Address - Phone:302-593-0031
Mailing Address - Fax:302-792-1636
Practice Address - Street 1:1701 AUGUSTINE CUT OFF
Practice Address - Street 2:BLD 1 SUITE 5
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4415
Practice Address - Country:US
Practice Address - Phone:302-593-0031
Practice Address - Fax:302-793-1636
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFL-0000557111N00000X
GA3113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor