Dimaano, Fallon Vanessa
Dimaano, Fallon Vanessa is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd Ste 3A , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Dimaano, Fallon Vanessa can be contacted via phone (313) 916-2600.Contact Information
Primary practice address
2799 W Grand Blvd Ste 3A
Detroit MI 48202-2608
Phone: (313) 916-2600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101026948 | Michigan |
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 20A21328 | California |
Profile Details
NPI number | 1326587478 |
---|---|
LBN Legal business name | Dimaano, Fallon Vanessa |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 21st, 2017 |
Last updated | Feb 16th, 2024 - about 9 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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