Organization
MAIN STREET CHIROPRACTIC CENTER
Active
Other names
Evolution Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARAK N PATEL DC (OWNER/PROVIDER)
(856) 904-3061
Entity
Organization
Contact information
Practice address
520 GREENHILL AVE, WILMINGTON, DE 19805-1851
(302) 390-2402
Mailing address
520 GREENHILL AVE, WILMINGTON, DE 19805-1851
(302) 390-2402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036188000001
—
PA
01
—
1083056683
INDIVIDUAL NPI
—
Enumeration date
08/09/2022
Last updated
02/28/2023
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