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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1871621680 NPPES
Vermont Other 28911 BLUE CROSS BLUE SHIELD
Vermont MEDICAID OVN1356 BLUE CROSS BLUE SHIELD

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