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
Fax: (810) 966-4898
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477576163 NPPES
Michigan Other 5601004781 STATE LICENSE

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