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
Fax: (317) 884-5360
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053363002 NPPES
Indiana MEDICAID 200081810

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