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General NPI Number Information
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NPI Number | 1568034775
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Entity Type | Organization
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Legal Business Name | I AM HEALTHCARE
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 951 FOREST ST
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City | DOVER
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State | DE
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Zip | 19904-3401
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Country | US
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Telephone | 302-643-3966
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Fax | 302-643-3969
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Provider Business Mailing Address
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Address Line | 59 IVY GLEN CT
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City | SMYRNA
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State | DE
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Zip | 19977-4049
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Country | US
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Telephone | 302-310-9369
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Fax | 302-643-3969
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Authorized Official
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Title or Position | OWNER
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Name | MARQUITA JOHNIKEN
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Credential |
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Telephone | 302-310-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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