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
Fax: (734) 402-0254
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790789055 NPPES
Michigan MEDICAID 4846745
Michigan Other 1790789055
Michigan Other 700F329470

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