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Contact Information

ECLIPSE WELLNESS LLC
623 W NEWPORT PIKE
WILMINGTON, DE19804-3235
 Phone: 302-777-5473
 Fax: 302-777-5483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ECLIPSE WELLNESS LLC

NPI Number 1245992262
LBN Legal business name ECLIPSE WELLNESS LLC
Authorized official AMANDA LUCKANISH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2021
Last updated 12/15/2023 - About 2 years ago
Identifiers
DE Medicaid 250694990
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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