Dibenedetto, Anthony Louis

Dibenedetto, Anthony Louis is an individual health care provider with primary practice located at 8571 Foxwood Court Suite C, Poland OH 44514. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Dibenedetto, Anthony Louis can be contacted via phone (330) 259-0265.

Contact Information

Primary practice address
8571 Foxwood Court Suite C Poland OH 44514
Phone: (330) 259-0265
Fax: (330) 259-0272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X LPO23 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X LPO23 Ohio

Profile Details

NPI number 1619931417
LBN Legal business name Dibenedetto, Anthony Louis
Credentials LPO
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Nov 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619931417 NPPES
Ohio MEDICAID 2347366

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