Dilella, Mark J
Dilella, Mark J is an individual health care provider with primary practice located at 1260 Innovation Pkwy #100 , Greenwood IN 46143-3602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Dilella, Mark J can be contacted via phone (317) 884-5200.Contact Information
Primary practice address
1260 Innovation Pkwy #100
Greenwood IN 46143-3602
Phone: (317) 884-5200
Fax: (317) 884-5360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 02001725A | Indiana |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 02001725 | Indiana |
Profile Details
NPI number | 1053363002 |
---|---|
LBN Legal business name | Dilella, Mark J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | May 20th, 2024 - about 6 months 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 | 1053363002 | NPPES |
Indiana | MEDICAID | 200081810 |
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