Depietro, Michael R

Depietro, Michael R is an individual health care provider with primary practice located at 4745 Ogletown Stanton Rd Map 1, Suite 220, Newark DE 19713-2067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Depietro, Michael R can be contacted via phone (302) 368-5515.

Contact Information

Primary practice address
4745 Ogletown Stanton Rd Map 1, Suite 220 Newark DE 19713-2067
Phone: (302) 368-5515
Fax: (302) 366-1240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X C10005688 Delaware

Profile Details

NPI number 1407805856
LBN Legal business name Depietro, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 9th, 2007 - about 18 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 1407805856 NPPES
Other 0295282000 AMERIHEALTH/KEYSTONE
Other 60959401 AMERIHEALTH/KEYSTONE
MEDICAID 0000974301 AMERIHEALTH/KEYSTONE
Other 1255450004 AMERIHEALTH/KEYSTONE
Other 550894 AMERIHEALTH/KEYSTONE
Other 58079 AMERIHEALTH/KEYSTONE
Other 289288 AMERIHEALTH/KEYSTONE
Other 4397310 AMERIHEALTH/KEYSTONE

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