Dettorre, Michael D
Dettorre, Michael D is an individual health care provider with primary practice located at 500 University Dr M.S.Hershey Medical Center, Hershey PA 17033-2360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Dettorre, Michael D can be contacted via phone (717) 531-5337.Contact Information
Primary practice address
500 University Dr M.S.Hershey Medical Center
Hershey PA 17033-2360
Phone: (717) 531-5337
Fax: (717) 531-0809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | OS006989L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS006989L | Pennsylvania |
Profile Details
| NPI number | 1336137439 |
|---|---|
| LBN Legal business name | Dettorre, Michael D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Dec 21st, 2011 - about 13 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 | 1336137439 | NPPES |
| Pennsylvania | MEDICAID | 0014126250006 |
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