Healthcare Provider Details

I. General information

NPI: 1922005255
Provider Name (Legal Business Name): SALLY HAMEL DOWLING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 N WILLIAMS ST
SELBYVILLE DE
19975-9659
US

IV. Provider business mailing address

15 N WILLIAMS ST
SELBYVILLE DE
19975-7514
US

V. Phone/Fax

Practice location:
  • Phone: 302-436-8004
  • Fax: 302-436-9769
Mailing address:
  • Phone: 302-436-8004
  • Fax: 302-436-9769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0003949
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: