Healthcare Provider Details

I. General information

NPI: 1144551177
Provider Name (Legal Business Name): JOSEPH G. IRWIN, DC, PA/PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2010
Last Update Date: 03/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PHILADELPHIA PIKE SUITE D
WILMINGTON DE
19809
US

IV. Provider business mailing address

1201 PHILADELPHIA PIKE SUITE D
WILMINGTON DE
19809
US

V. Phone/Fax

Practice location:
  • Phone: 302-798-1587
  • Fax:
Mailing address:
  • Phone: 302-798-1587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberF1-0000148
License Number StateDE

VIII. Authorized Official

Name: DR. JOSEPH GEORGE IRWIN
Title or Position: PRESIDENT
Credential: DC
Phone: 302-798-1587