Di Julio, Thomas P

Di Julio, Thomas P is an sole proprietor health care provider with primary practice located at 1703 Termino Ave #208, Long Beach CA 90804-2124. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Di Julio, Thomas P can be contacted via phone (562) 498-1182.

Contact Information

Primary practice address
1703 Termino Ave #208 Long Beach CA 90804-2124
Phone: (562) 498-1182
Fax: (562) 985-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G30897 California

Profile Details

NPI number 1396712188
LBN Legal business name Di Julio, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Mar 8th, 2012 - about 12 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 1396712188 NPPES
Other 343789000 US DEPT OF LABOR (ASC)
MEDICAID 00G30870 US DEPT OF LABOR (ASC)
Other 130001756 US DEPT OF LABOR (ASC)
Other 00G308970 US DEPT OF LABOR (ASC)

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