Healthcare Provider Details

I. General information

NPI: 1568772119
Provider Name (Legal Business Name): ABSOLUTE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 E CAMDEN WYOMING AVE
CAMDEN DE
19934-1303
US

IV. Provider business mailing address

1617 HOWLAND STREET
WILMINGTON DE
19805
US

V. Phone/Fax

Practice location:
  • Phone: 302-535-8236
  • Fax: 302-535-8240
Mailing address:
  • Phone: 302-670-3385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0000755
License Number StateDE

VIII. Authorized Official

Name: DR. JOSEPH CHRISTOPHER VINCENT
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 302-670-3385