Dibartolo, Michael A
Dibartolo, Michael A is an individual health care provider with primary practice located at 950 E Bogard Rd Ste 103 , Wasilla AK 99654-7184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dibartolo, Michael A can be contacted via phone (907) 352-2880.Contact Information
Primary practice address
950 E Bogard Rd Ste 103
Wasilla AK 99654-7184
Phone: (907) 352-2880
Fax: (907) 352-2885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6440 | Alaska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP60496207 | Washington |
Profile Details
| NPI number | 1316999808 |
|---|---|
| LBN Legal business name | Dibartolo, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Dec 5th, 2022 - about 2 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 | 1316999808 | NPPES |
| Alaska | MEDICAID | MD1623 | |
| Alaska | Other | MDG798 |
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