Dimeo, Frederick
Dimeo, Frederick is an individual health care provider with primary practice located at 655 S Bay Rd Ste 1F , Dover DE 19901-4694. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dimeo, Frederick can be contacted via phone (302) 730-4366.Contact Information
Primary practice address
655 S Bay Rd Ste 1F
Dover DE 19901-4694
Phone: (302) 730-4366
Fax: (302) 730-0231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C50000194 | Delaware |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C50000194 | Delaware |
Profile Details
NPI number | 1669479531 |
---|---|
LBN Legal business name | Dimeo, Frederick |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2005 |
Last updated | Jan 7th, 2019 - about 6 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 | 1669479531 | NPPES |
Delaware | MEDICAID | 1000015430 | |
Delaware | Other | 168809ZA5H |
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