Healthcare Provider Details

I. General information

NPI: 1982934295
Provider Name (Legal Business Name): TOD H EMEIGH CRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 01/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MIDDLEFORD RD
SEAFORD DE
19973-3617
US

IV. Provider business mailing address

1601 MIDDLEFORD RD
SEAFORD DE
19973-3617
US

V. Phone/Fax

Practice location:
  • Phone: 302-629-0202
  • Fax: 302-629-9382
Mailing address:
  • Phone: 302-629-0202
  • Fax: 302-629-9382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License NumberC9-0000856
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License NumberL0005052
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: