Dibiase, Virgil A
Dibiase, Virgil A is an individual health care provider with primary practice located at 707 N Michigan St Ste 102 , South Bend IN 46601-1068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dibiase, Virgil A can be contacted via phone (574) 647-8542.Contact Information
Primary practice address
707 N Michigan St Ste 102
South Bend IN 46601-1068
Phone: (574) 647-8542
Fax: (574) 647-8549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01042651A | Indiana |
Profile Details
| NPI number | 1821024043 |
|---|---|
| LBN Legal business name | Dibiase, Virgil A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jan 6th, 2023 - about last year |
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 | 1821024043 | NPPES |
| Other | M32727008 | MEDICARE | |
| MEDICAID | 100386310 | MEDICARE |
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