Healthcare Provider Details

I. General information

NPI: 1891759361
Provider Name (Legal Business Name): DEBBIE ANN SKJAVELAND D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 TWIN C LN SUITE 201
NEWARK DE
19713-2157
US

IV. Provider business mailing address

1101 TWIN C LN SUITE 201
NEWARK DE
19713-2157
US

V. Phone/Fax

Practice location:
  • Phone: 302-892-9355
  • Fax: 302-892-3494
Mailing address:
  • Phone: 302-892-9355
  • Fax: 302-892-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF10000597
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: