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
Fax: (302) 733-1633
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134190861 NPPES
Delaware MEDICAID 1000024184

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