Dimambro, Erin
Dimambro, Erin is an individual health care provider with primary practice located at 1201 Stone St Ste 5, Port Huron MI 48060-3563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dimambro, Erin can be contacted via phone (810) 966-9556.Contact Information
Primary practice address
1201 Stone St Ste 5
Port Huron MI 48060-3563
Phone: (810) 966-9556
Fax: (810) 966-4898
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004781 | Michigan |
Profile Details
NPI number | 1477576163 |
---|---|
LBN Legal business name | Dimambro, Erin |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Nov 13th, 2015 - about 9 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 | 1477576163 | NPPES |
Michigan | Other | 5601004781 | STATE LICENSE |
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