Healthcare Provider Details

I. General information

NPI: 1902639792
Provider Name (Legal Business Name): ECHO PRIMARY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 OLD CAMDEN RD
CAMDEN DE
19934-5524
US

IV. Provider business mailing address

227 OLD CAMDEN RD
CAMDEN DE
19934-5524
US

V. Phone/Fax

Practice location:
  • Phone: 302-546-3246
  • Fax: 302-506-3246
Mailing address:
  • Phone: 302-546-3246
  • Fax: 302-506-3246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN PEARSON
Title or Position: OWNER
Credential: DNP, FNP-C
Phone: 302-546-3246