Dimartino, Jeremy Thomas
Dimartino, Jeremy Thomas is an sole proprietor health care provider with primary practice located at 980 Birmingham Rd Suite 811, Milton GA 30004-4417. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Dimartino, Jeremy Thomas can be contacted via phone (678) 266-3300.Contact Information
Primary practice address
980 Birmingham Rd Suite 811
Milton GA 30004-4417
Phone: (678) 266-3300
Fax: (678) 266-3322
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038-010478 | Illinois |
Chiropractic Providers / Sports Physician | 111NS0005X | CHIR008758 | Georgia |
Profile Details
NPI number | 1376659847 |
---|---|
LBN Legal business name | Dimartino, Jeremy Thomas |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 21st, 2006 |
Last updated | Jul 13th, 2022 - about 2 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 | 1376659847 | NPPES |
Illinois | Other | 0034942136 | BCBS PROVIDER # |
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