Healthcare Provider Details

I. General information

NPI: 1285525543
Provider Name (Legal Business Name): MARK B LETTERMAN DC, OMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 REHOBOTH AVE
REHOBOTH BEACH DE
19971-2171
US

IV. Provider business mailing address

1803 SLAUGHTER STATION RD
HARTLY DE
19953-3222
US

V. Phone/Fax

Practice location:
  • Phone: 302-612-1077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberCT-0010019
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0011109
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: