Healthcare Provider Details

I. General information

NPI: 1679758023
Provider Name (Legal Business Name): MEGAN RAE SMITH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN RAE BARCHIESI D.C.

II. Dates (important events)

Enumeration Date: 01/04/2008
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 CENTRAL AVE
OCEAN VIEW DE
19970-9715
US

IV. Provider business mailing address

98 CENTRAL AVE
OCEAN VIEW DE
19970-9715
US

V. Phone/Fax

Practice location:
  • Phone: 302-402-3110
  • Fax: 302-581-2251
Mailing address:
  • Phone: 302-402-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0000774
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: