Dettwyler, John William
Dettwyler, John William is an sole proprietor health care provider with primary practice located at 5301 Limestone Rd Suite 103, Wilmington DE 19808-1250. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dettwyler, John William can be contacted via phone (302) 234-8982.Contact Information
Primary practice address
5301 Limestone Rd Suite 103
Wilmington DE 19808-1250
Phone: (302) 234-8982
Fax: (302) 234-8984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | B10000210 | Delaware |
Profile Details
| NPI number | 1982776324 |
|---|---|
| LBN Legal business name | Dettwyler, John William |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982776324 | NPPES |
| Delaware | MEDICAID | 1000025979 | |
| Delaware | MEDICAID | 0000621543 |
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