Dibello, Amy Lee
Dibello, Amy Lee is an sole proprietor health care provider with primary practice located at 314 S Ennis St , Port Angeles WA 98362-4716. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dibello, Amy Lee can be contacted via phone (360) 565-6128.Contact Information
Primary practice address
314 S Ennis St
Port Angeles WA 98362-4716
Phone: (360) 565-6128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH60658592 | Washington |
Profile Details
| NPI number | 1508350893 |
|---|---|
| LBN Legal business name | Dibello, Amy Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2018 |
| Last updated | Jun 19th, 2018 - about 7 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 | 1508350893 | NPPES |
| Washington | Other | DH60658592 | HYGIENIST |
| Washington | MEDICAID | DH60658592 | HYGIENIST |
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