Provider Demographics
NPI:1962214205
Name:FERMIN, JOSE ENRICO HOJILLA (DC)
Entity type:Individual
Prefix:DR
First Name:JOSE ENRICO
Middle Name:HOJILLA
Last Name:FERMIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MALCOLM FOREST RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8740
Mailing Address - Country:US
Mailing Address - Phone:302-543-3318
Mailing Address - Fax:
Practice Address - Street 1:503 N TATNALL ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-2232
Practice Address - Country:US
Practice Address - Phone:302-658-5232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0011147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor