Provider Demographics
NPI:1407094907
Name:PATEL, HETAL CHIRAG (DC)
Entity type:Individual
Prefix:
First Name:HETAL
Middle Name:CHIRAG
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1413
Mailing Address - Country:US
Mailing Address - Phone:302-389-2225
Mailing Address - Fax:302-389-1003
Practice Address - Street 1:29 N EAST ST
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1413
Practice Address - Country:US
Practice Address - Phone:302-389-2225
Practice Address - Fax:302-389-1003
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE5707129OtherAETNA
DE3899109000OtherINDEPENDENCE BC
DE0988173OtherCIGNA
DE2272852000OtherAMERIHEALTH
DE002864540OtherHIGHMARK BC/BS
DE0988173OtherCIGNA