Diblasi, Stephen Lee
Diblasi, Stephen Lee is an individual health care provider with primary practice located at 4315 Maccorkle Ave Se , Charleston WV 25304-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Diblasi, Stephen Lee can be contacted via phone (304) 926-8080.Contact Information
Primary practice address
4315 Maccorkle Ave Se
Charleston WV 25304-2503
Phone: (304) 926-8080
Fax: (304) 926-8083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 053388 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 1803 | West Virginia |
Profile Details
| NPI number | 1609865930 |
|---|---|
| LBN Legal business name | Diblasi, Stephen Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Dec 12th, 2014 - about 11 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 | 1609865930 | NPPES |
| Georgia | MEDICAID | 471776680A |
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