Organization
KENNETH E DEGROOT DC INC
Active
Other names
de Groot Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ERIC DE GROOT D.O. (OWNER)
(302) 475-5600
Entity
Organization
Contact information
Practice address
1401 SILVERSIDE RD, SUITE 1, WILMINGTON, DE 19810-4400
(302) 475-5600
(302) 475-5940
Mailing address
1401 SILVERSIDE RD, SUITE 1, WILMINGTON, DE 19810-4400
(302) 475-5600
(302) 475-5940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F10000191
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001073718
—
DE
01
—
2279331000
AMERIHEALTH
DE
Enumeration date
04/24/2007
Last updated
09/04/2012
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