Dimitropoulos, Vassilios A.
Dimitropoulos, Vassilios A. is an individual health care provider with primary practice located at 10282 W 400 N , Michigan City IN 46360-9470. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Dimitropoulos, Vassilios A. can be contacted via phone (773) 351-2862.Contact Information
Primary practice address
10282 W 400 N
Michigan City IN 46360-9470
Phone: (773) 351-2862
Fax: (773) 358-2767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036113849 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01084831A | Indiana |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036113849 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036113849 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301079801 | Michigan |
Profile Details
| NPI number | 1194838045 |
|---|---|
| LBN Legal business name | Dimitropoulos, Vassilios A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Oct 23rd, 2020 - about 4 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 | 1194838045 | NPPES |
| Michigan | Other | 27-0422873 | ST JOSEPH DERMATOLOGY TAX ID |
| Michigan | Other | 813288715 | ST JOSEPH DERMATOLOGY TAX ID |
| Michigan | Other | 27-0907956 | ST JOSEPH DERMATOLOGY TAX ID |
| Michigan | Other | 813301692 | ST JOSEPH DERMATOLOGY TAX ID |
| Michigan | MEDICAID | 1194838045 | ST JOSEPH DERMATOLOGY TAX ID |
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