Healthcare Provider Details

I. General information

NPI: 1477858553
Provider Name (Legal Business Name): ALARIC DIGGS D.C., P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7852 S DUPONT HWY STE 1C
FELTON DE
19943-5787
US

IV. Provider business mailing address

7852 S DUPONT HWY STE 1C
FELTON DE
19943-5787
US

V. Phone/Fax

Practice location:
  • Phone: 302-390-1200
  • Fax: 302-337-6965
Mailing address:
  • Phone: 302-390-1200
  • Fax: 302-337-6965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0000996
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberS03752
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberS03752
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberF1-0000996
License Number StateDE
# 5
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS03752
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: