Carl J Bakomenko
Rehabilitation Chiropractor
1426 N Clayton St
Wilmington
, Delaware 19806-4006
Carl J Bakomenko
Rehabilitation Chiropractor
1426 N Clayton St
Wilmington
, Delaware 19806-4006
(302) 300-4241
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Carl J Bakomenko
- 1426 N Clayton St
- Wilmington, DE
- Zip : 19806-4006
- Fax : (302) 300-4241
- Phone : (302) 300-4242
Second Address
- Carl J Bakomenko
- 1426 N Clayton St
- Wilmington, DE
- Zip : 19806-4006
- Fax : (302) 300-4241
- Phone : (302) 300-4242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | F1-0000833 | DE |
National Provider Identifier
| NPI | 1043574528 |
|---|---|
| Provider Name | Carl J Bakomenko |
| First Address | Wilmington, DE 19806-4006 |
| Second Address | Wilmington, DE 19806-4006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2012 |
| Last Update Date | 26/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.