Dibiase, Michael
Dibiase, Michael is an individual health care provider with primary practice located at 100 Grand St Fl 1 , New Britain CT 06052-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dibiase, Michael can be contacted via phone (860) 224-5011.Contact Information
Primary practice address
100 Grand St Fl 1
New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 63949 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 203677 | Virginia |
Profile Details
| NPI number | 1245627801 |
|---|---|
| LBN Legal business name | Dibiase, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2015 |
| Last updated | Jul 30th, 2019 - about 5 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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