Dibattiste, Eulalia
Dibattiste, Eulalia is an sole proprietor health care provider with primary practice located at 411 Us Highway 9 Ste 2 , Lanoka Harbor NJ 08734-2818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dibattiste, Eulalia can be contacted via phone (609) 693-0819.Contact Information
Primary practice address
411 Us Highway 9 Ste 2
Lanoka Harbor NJ 08734-2818
Phone: (609) 693-0819
Fax: (609) 971-0834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA02980100 | New Jersey |
Profile Details
NPI number | 1104856434 |
---|---|
LBN Legal business name | Dibattiste, Eulalia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1104856434 | NPPES |
New Jersey | MEDICAID | 3643107 |
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