Whalio Doctors

NPI 1992932552

Chad Derick Hall, PTA

Practitioner Community Health Worker Long Neck, DE

Practice location

Address
26396 Bay Farm Rd Back Bay Park Center, Long Neck, DE 19966-4993
Phone
(302) 947-9662
Fax
(302) 947-9692
Mailing address
2 W 10th St, Marcus Hook, PA 19061-4513

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence J2-0000674 (DE)

Registry record

NPI
1992932552
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2009
Record last updated
28 Sep 2009

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.