MEDICARE: MRS. SALLY HAMEL DOWLING MD

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	207Q00000X	Family Medicine Physician	C1-0003949	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922005255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SALLY HAMEL DOWLING MD

Provider Business Mailing Address
First Line	:	15 N WILLIAMS ST
Second Line	:
City	:	SELBYVILLE
State	:	DE
Zip	:	19975-7514
Country	:	US
Telephone Number	:	302-436-8004
Fax Number	:	302-436-9769

Provider Business Practice Location Address
First Line	:	15 N WILLIAMS ST
Second Line	:
City	:	SELBYVILLE
State	:	DE
Zip	:	19975-9659
Country	:	US
Telephone Number	:	302-436-8004
Fax Number	:	302-436-9769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/30/2007

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