Provider Demographics
NPI:1588987820
Name:ALAN D. WARRINGTON, D.O., P.A.
Entity type:Organization
Organization Name:ALAN D. WARRINGTON, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:WARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:302-239-9599
Mailing Address - Street 1:5307 LIMESTONE RD
Mailing Address - Street 2:STE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1268
Mailing Address - Country:US
Mailing Address - Phone:302-239-9599
Mailing Address - Fax:
Practice Address - Street 1:5307 LIMESTONE RD
Practice Address - Street 2:STE 202
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1268
Practice Address - Country:US
Practice Address - Phone:302-239-9599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20003184207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000133103Medicaid
DEWA464528OtherMEDICARE
DE1801981923OtherTYPE 1 NPI
DEE21834Medicare UPIN