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Contact Information

EPHPHATHA MEDICAL CARE SERVICES LLC
23092 MEADOW WOOD CT UNIT 416
SEAFORD, DE19973-7753
 Phone: 925-222-9572
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family

363LF0000X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EPHPHATHA MEDICAL CARE SERVICES LLC

NPI # 1245884048
LBN Legal business name EPHPHATHA MEDICAL CARE SERVICES LLC
Authorized official EMANIE DORIVAL - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2019
Last updated 09/26/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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