Healthcare Provider Details

I. General information

NPI: 1619809324
Provider Name (Legal Business Name): SHERWOOD PURNELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HOLLLANDER SERVICES

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 S CLAYTON ST
WILMINGTON DE
19805-3947
US

IV. Provider business mailing address

34 S CLAYTON ST
WILMINGTON DE
19805-3947
US

V. Phone/Fax

Practice location:
  • Phone: 410-810-4868
  • Fax:
Mailing address:
  • Phone: 410-810-4868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number818121
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: