Destefano, Michael Joseph
Destefano, Michael Joseph is an individual health care provider with primary practice located at 100 Navarre Pl Ste. 4470, South Bend IN 46601-1156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Destefano, Michael Joseph can be contacted via phone (574) 647-1300.Contact Information
Primary practice address
100 Navarre Pl Ste. 4470
South Bend IN 46601-1156
Phone: (574) 647-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01027434A | Indiana |
Profile Details
| NPI number | 1609864040 |
|---|---|
| LBN Legal business name | Destefano, Michael Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Apr 11th, 2008 - about 16 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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