Provider Demographics
NPI:1144528308
Name:THE PEARL CLINIC, LLC
Entity type:Organization
Organization Name:THE PEARL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:302-648-2099
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:DAGSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19939-0489
Mailing Address - Country:US
Mailing Address - Phone:302-648-2099
Mailing Address - Fax:302-648-2097
Practice Address - Street 1:28539 DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4798
Practice Address - Country:US
Practice Address - Phone:302-648-2099
Practice Address - Fax:302-648-2097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0009422207RS0012X, 207R00000X
261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Multi-Specialty