Dellavalla, Joseph

Dellavalla, Joseph is an individual health care provider with primary practice located at 59 Page Hill Rd , Berlin NH 03570-3531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Dellavalla, Joseph can be contacted via phone (603) 752-2200.

Contact Information

Primary practice address
59 Page Hill Rd Berlin NH 03570-3531
Phone: (603) 752-2200
Fax: (603) 326-5832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MI43083768 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 15057 New Hampshire

Profile Details

NPI number 1386684439
LBN Legal business name Dellavalla, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 17th, 2014 - about 11 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 1386684439 NPPES
Michigan Other JD083768 BLUECROSS STATE ID
Michigan Other 0C16002 BLUECROSS STATE ID
Michigan MEDICAID 104652714 BLUECROSS STATE ID
Michigan Other 0829560001 BLUECROSS STATE ID

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