MEDICARE: ABSOLUTE HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	F1-0000755	DE

General Provider Information

NPI Number	:	1568772119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE HEALTH LLC

Provider Business Mailing Address
First Line	:	1617 HOWLAND STREET
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805
Country	:	US
Telephone Number	:	302-670-3385
Fax Number	:

Provider Business Practice Location Address
First Line	:	248 E CAMDEN WYOMING AVE
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1303
Country	:	US
Telephone Number	:	302-535-8236
Fax Number	:	302-535-8240

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JOSEPH CHRISTOPHER VINCENT
Credential	:	D.C.
Telephone Number	:	302-670-3385

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	02/28/2011

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