302 Body Shop

LBN: 302 Body Shop
302 Body Shop is an health care organization with primary practice located at 4601 South Dupont Highway St 1, Dover DE 19901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. 302 Body Shop can be contacted via phone (302) 698-1100, or through Diem, Ronnie via phone (302) 331-9026.

Contact Information

Primary practice address
4601 South Dupont Highway St 1 Dover DE 19901
Phone: (302) 698-1100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diem, Ronnie Physician's Assistant Certified (PA-C)
Phone: (302) 331-9026

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1790468353
LBN Legal business name 302 Body Shop
DBA Doing business as
Authorized official Diem, Ronnie Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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