Dibella, Larissa Ann
Dibella, Larissa Ann is an individual health care provider with primary practice located at 528 Union Rd , Gastonia NC 28054-4450. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dibella, Larissa Ann can be contacted via phone (704) 867-1010.Contact Information
Primary practice address
528 Union Rd
Gastonia NC 28054-4450
Phone: (704) 867-1010
Fax: (704) 868-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2255 | North Carolina |
Profile Details
| NPI number | 1841258779 |
|---|---|
| LBN Legal business name | Dibella, Larissa Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Nov 19th, 2007 - about 18 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 | 1841258779 | NPPES |
| North Carolina | MEDICAID | 890282P |
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