Dimitrov, Dimitre H
Dimitrov, Dimitre H is an sole proprietor health care provider with primary practice located at 2215 Fuller Rd Dept Of , Ann Arbor MI 48105-2303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Hospitals / Special Hospital. Allopathic & Osteopathic Physicians / Psychosomatic Medicine is his primary health care specialty. Dimitrov, Dimitre H can be contacted via phone (734) 769-7100.Contact Information
Primary practice address
2215 Fuller Rd Dept Of
Ann Arbor MI 48105-2303
Phone: (734) 769-7100
Fax: (734) 845-3235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | 53629 | Michigan |
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | 446 | Michigan |
| Hospitals / Special Hospital | 284300000X |
Profile Details
| NPI number | 1770746695 |
|---|---|
| LBN Legal business name | Dimitrov, Dimitre H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Jul 10th, 2008 - about 17 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 | 1770746695 | NPPES |
| Michigan | Other | 4301081427 | PHYSICAIN LICENSE |
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