Healthcare Provider Details

I. General information

NPI: 1356347983
Provider Name (Legal Business Name): JOSEPH SEBASTIANI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 N MARKET ST
WILMINGTON DE
19802-2219
US

IV. Provider business mailing address

4011 N MARKET ST
WILMINGTON DE
19802-2219
US

V. Phone/Fax

Practice location:
  • Phone: 302-762-0200
  • Fax: 302-762-0500
Mailing address:
  • Phone: 302-762-0200
  • Fax: 302-762-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF10000295
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: