Provider Demographics
NPI:1447278080
Name:BRANDYWINE TOTAL HEALTH CARE, INC.
Entity type:Organization
Organization Name:BRANDYWINE TOTAL HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:FEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-478-3028
Mailing Address - Street 1:3214 NAAMANS RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-1004
Mailing Address - Country:US
Mailing Address - Phone:302-478-3028
Mailing Address - Fax:302-478-3079
Practice Address - Street 1:3214 NAAMANS RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-1004
Practice Address - Country:US
Practice Address - Phone:302-478-3028
Practice Address - Fax:302-478-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1999205189111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG00041Medicare PIN