Provider Demographics
NPI:1982882189
Name:FLETCHER, CHARLETTE H (DC)
Entity type:Individual
Prefix:
First Name:CHARLETTE
Middle Name:H
Last Name:FLETCHER
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 1:2803 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2926
Mailing Address - Country:US
Mailing Address - Phone:302-429-7699
Mailing Address - Fax:
Practice Address - Street 1:1303 DELAWARE AVE
Practice Address - Street 2:THE PLAZA APTS, SUITE 12
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3419
Practice Address - Country:US
Practice Address - Phone:302-543-6072
Practice Address - Fax:302-543-6082
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF10000627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor