Organization
BAYVIEW CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WELLINGTON SIMMONS WHITLOCK III DC (OWNER CHIROPRACTOR)
(302) 378-2273
Entity
Organization
Contact information
Practice address
104 MIDDESSA DR, MIDDLETOWN, DE 19709-6819
(302) 378-2273
(302) 378-1183
Mailing address
104 MIDDESSA DR, MIDDLETOWN, DE 19709-6819
(302) 378-2273
(302) 378-1183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F10000421
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2399337000
AMERIHEALTH INDEP BCBS DE
—
Enumeration date
02/05/2007
Last updated
10/01/2010
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