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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104856434 NPPES
New Jersey MEDICAID 3643107

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