Eclipse Wellness Llc

LBN: Eclipse Wellness Llc
Eclipse Wellness Llc is an health care organization with primary practice located at 623 W Newport Pike , Wilmington DE 19804-3235. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Eclipse Wellness Llc can be contacted via phone (302) 777-5473, or through Luckanish, Amanda via phone (484) 919-1607.

Contact Information

Primary practice address
623 W Newport Pike Wilmington DE 19804-3235
Phone: (302) 777-5473
Fax: (302) 777-5483
Website:
Map and Directions
Authorized official contact:
Name: Luckanish, Amanda
Phone: (484) 919-1607

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1245992262
LBN Legal business name Eclipse Wellness Llc
DBA Doing business as
Authorized official Luckanish, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2021
Last updated Dec 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245992262 NPPES
Delaware MEDICAID 250694990

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