Healthcare Provider Details

I. General information

NPI: 1801726880
Provider Name (Legal Business Name): ADVANCED CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 BECKS WOODS DR
BEAR DE
19701-3833
US

IV. Provider business mailing address

131 BECKS WOODS DR
BEAR DE
19701-3833
US

V. Phone/Fax

Practice location:
  • Phone: 302-287-8965
  • Fax:
Mailing address:
  • Phone: 302-287-8965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL SPECIALE JR.
Title or Position: OWNER
Credential:
Phone: 302-287-8965