Di Liddo, Paolo E.
Di Liddo, Paolo E. is an individual health care provider with primary practice located at 14500 Hall Rd , Sterling Heights MI 48313-1229. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Di Liddo, Paolo E. can be contacted via phone (586) 247-3764.Contact Information
Primary practice address
14500 Hall Rd
Sterling Heights MI 48313-1229
Phone: (586) 247-3764
Fax: (586) 247-2673
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901001902 | Michigan |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5901001902 | Michigan |
Profile Details
NPI number | 1386657088 |
---|---|
LBN Legal business name | Di Liddo, Paolo E. |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2006 |
Last updated | Nov 7th, 2023 - about last year |
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 | 1386657088 | NPPES |
Other | 480H280180 | BLUE CROSS-BLUE CROSS | |
Other | PD001902 | BLUE CROSS-BLUE CROSS | |
MEDICAID | 439297413 | BLUE CROSS-BLUE CROSS | |
Other | PD001902 | BLUE CROSS-BLUE CROSS |
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