Dimodica, Paul Louis
Dimodica, Paul Louis is an sole proprietor health care provider with primary practice located at 3043 Ne 28Th St , Lincoln City OR 97367-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dimodica, Paul Louis can be contacted via phone (541) 994-3661.Contact Information
Primary practice address
3043 Ne 28Th St
Lincoln City OR 97367-4518
Phone: (541) 994-3661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A8624 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO24715 | Oregon |
Profile Details
| NPI number | 1225065576 |
|---|---|
| LBN Legal business name | Dimodica, Paul Louis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Mar 21st, 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 | 1225065576 | NPPES |
| California | MEDICAID | 00AX86240 |
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