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Individual

RICHARD M JANNELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1 BENTON CT, WILMINGTON, DE 19810
(302) 475-9226
(302) 475-4215
Mailing address
1 BENTON CT, WILMINGTON, DE 19810
(302) 475-9226
(302) 475-4215

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00397900
NJ
111N00000X
Chiropractor
DC005113L
PA
111N00000X
Chiropractor
Primary
F10000284
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004406423
AETNA
01
607318
INDEPENDENCE BLUE CROSS
Enumeration date
09/14/2006
Last updated
07/08/2007
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