Dibala, Richard Paul
Dibala, Richard Paul is an sole proprietor health care provider with primary practice located at 1022 Storrs Rd , Storrs Mansfield CT 06268-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dibala, Richard Paul can be contacted via phone (860) 429-9321.Contact Information
Primary practice address
1022 Storrs Rd
Storrs Mansfield CT 06268-2639
Phone: (860) 429-9321
Fax: (860) 429-4775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 022511 | Connecticut |
Profile Details
| NPI number | 1407968050 |
|---|---|
| LBN Legal business name | Dibala, Richard Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407968050 | NPPES |
| Connecticut | MEDICAID | 001225119 | |
| Connecticut | Other | 080001969 |
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