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Contact Information

EVERNORTH CARE PROVIDERS - DELAWARE PA
100 N 18TH STREET
SUITE 300
PHILADELPHIA, PA19103
 Phone: 773-292-4800
 Fax: 312-564-4059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for EVERNORTH CARE PROVIDERS - DELAWARE PA

NPI # 1457138182
LBN Legal business name EVERNORTH CARE PROVIDERS - DELAWARE PA
Authorized official JACQUELINE LAKES - (SENIOR PARALEGAL)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2023
Last updated 07/14/2025 - About 11 months 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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