Duckworth, Andrew C
Duckworth, Andrew C is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd , Newark DE 19716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Duckworth, Andrew C can be contacted via phone (302) 733-1000.Contact Information
Primary practice address
4755 Ogletown Stanton Rd
Newark DE 19716
Phone: (302) 733-1000
Fax: (302) 733-1633
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C50000254 | Delaware |
Profile Details
NPI number | 1134190861 |
---|---|
LBN Legal business name | Duckworth, Andrew C |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1134190861 | NPPES |
Delaware | MEDICAID | 1000024184 |
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