Provider Demographics
NPI:1740516442
Name:DICOLA CHIROPRACTIC HEALTH CENTER
Entity type:Organization
Organization Name:DICOLA CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DICOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-633-3402
Mailing Address - Street 1:2400 LIMESTONE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4106
Mailing Address - Country:US
Mailing Address - Phone:302-633-3402
Mailing Address - Fax:302-633-6661
Practice Address - Street 1:2400 LIMESTONE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4106
Practice Address - Country:US
Practice Address - Phone:302-633-3402
Practice Address - Fax:302-633-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty