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
Fax: (678) 266-3322
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376659847 NPPES
Illinois Other 0034942136 BCBS PROVIDER #

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