D'Ambrosio, Gina Marie
D'Ambrosio, Gina Marie is an individual health care provider with primary practice located at 36123 Schoolcraft Rd , Livonia MI 48150-1216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. D'Ambrosio, Gina Marie can be contacted via phone (734) 464-0887.Contact Information
Primary practice address
36123 Schoolcraft Rd
Livonia MI 48150-1216
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101014605 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 5101014605 | Michigan |
Profile Details
| NPI number | 1790789055 |
|---|---|
| LBN Legal business name | D'Ambrosio, Gina Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Nov 16th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790789055 | NPPES |
| Michigan | MEDICAID | 4846745 | |
| Michigan | Other | 1790789055 | |
| Michigan | Other | 700F329470 |
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