NPI 1003984410

State of Delaware

Organisation Student Health Clinic/Center Dover, DE

Practice location

Address: 417 Federal St, Dover, DE 19901-3635
Phone: (302) 744-4849
Fax: (302) 739-6627

Authorised official

Name: Herman Ellis
Title: Medical Director
Phone: (302) 744-4700

Registered specialties

Student Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS1000X

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1003984410
Entity type: Organization
NPI issued: 1 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.