Healthcare Provider Details

I. General information

NPI: 1902901945
Provider Name (Legal Business Name): PATRICK SWIER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 12/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 SAVANNAH RD
LEWES DE
19958-1623
US

IV. Provider business mailing address

1400 SAVANNAH RD
LEWES DE
19958-1623
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-7737
  • Fax: 302-645-1471
Mailing address:
  • Phone: 302-645-7737
  • Fax: 302-645-1471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberC5-0000216
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberLZ-0000120
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberC1-0006154
License Number StateDE

VIII. Authorized Official

Name: DR. PATRICK SWIER
Title or Position: OWNER
Credential: MD
Phone: 302-645-7737