Michell, Constantine W.

Michell, Constantine W. is an individual health care provider with primary practice located at 89 Omega Dr , Newark DE 19713-2065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Michell, Constantine W. can be contacted via phone (302) 738-5500.

Contact Information

Primary practice address
89 Omega Dr Newark DE 19713-2065
Fax: (302) 738-9449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C2-0000333 Delaware

Profile Details

NPI number 1558368035
LBN Legal business name Michell, Constantine W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 23rd, 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 1558368035 NPPES
Delaware MEDICAID 0000132803

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