Dimichele, John Mark
Dimichele, John Mark is an individual health care provider with primary practice located at 1141 N Road St , Elizabeth City NC 27909-3354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dimichele, John Mark can be contacted via phone (252) 384-2590.Contact Information
Primary practice address
1141 N Road St
Elizabeth City NC 27909-3354
Phone: (252) 384-2590
Fax: (252) 384-2589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 0420009297 | Vermont |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015-02134 | North Carolina |
Profile Details
| NPI number | 1871621680 |
|---|---|
| LBN Legal business name | Dimichele, John Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Nov 3rd, 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 | 1871621680 | NPPES |
| Vermont | Other | 28911 | BLUE CROSS BLUE SHIELD |
| Vermont | MEDICAID | OVN1356 | BLUE CROSS BLUE SHIELD |
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