Organization
CHADLEY INC
Active
Other names
Corrective Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD EVAN LAURENCE DC (CHIROPRACTOR/OWNER)
(302) 234-1115
Entity
Organization
Contact information
Practice address
7503 A LANCASTER PIKE, HOCKESSIN, DE 19707-9593
(302) 234-1115
(302) 234-6661
Mailing address
7503 A LANCASTER PIKE, HOCKESSIN, DE 19707-9593
(302) 234-1115
(302) 234-6661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F10000514
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467402362
GROUP NPI
DE
01
—
1669422564
NPI TYPE ONE
DE
01
—
G01606C01
MEDICARE INDIVIDUAL PETAN
—
Enumeration date
05/11/2006
Last updated
12/03/2008
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