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NPI Code Detail

MEDICARE: ATLAS CHIROPRACTOR MIDDLETOWN

MEDICARE: ATLAS CHIROPRACTOR MIDDLETOWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorF10000484DE

General Provider Information

NPI Number : 1770607962
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLAS CHIROPRACTOR MIDDLETOWN
Provider Business Mailing Address
First Line : 102 SLEEPY HOLLOW DR
Second Line : SUITE 200
City : MIDDLETOWN
State : DE
Zip : 19709-5841
Country : US
Telephone Number : 302-449-1555
Fax Number : 302-449-2908
Provider Business Practice Location Address
First Line : 102 SLEEPY HOLLOW DR
Second Line : SUITE 200
City : MIDDLETOWN
State : DE
Zip : 19709-5841
Country : US
Telephone Number : 302-449-1555
Fax Number : 302-449-2908
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. ANDREW LEITZKE
Credential : D.C.
Telephone Number : 302-449-1555
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/22/2020

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Practice Location Address:
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Practice Fax: 302-449-2908

Directions to “ATLAS CHIROPRACTOR MIDDLETOWN ” Practice Location

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