Dibenedetto, Mary C

Dibenedetto, Mary C is an individual health care provider with primary practice located at 3075 Governors Place Blvd Ste 120 , Kettering OH 45409-1332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dibenedetto, Mary C can be contacted via phone (937) 424-2580.

Contact Information

Primary practice address
3075 Governors Place Blvd Ste 120 Kettering OH 45409-1332
Phone: (937) 424-2580
Fax: (937) 424-3581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003057 Georgia

Profile Details

NPI number 1538113295
LBN Legal business name Dibenedetto, Mary C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 19th, 2018 - about 6 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 1538113295 NPPES
Other 1538113295 NPI

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