Dipreta, Edward A
Dipreta, Edward A is an sole proprietor health care provider with primary practice located at 3008 E Park Ave , Brunswick GA 31520-4241. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Dipreta, Edward A can be contacted via phone (912) 265-2142.Contact Information
Primary practice address
3008 E Park Ave
Brunswick GA 31520-4241
Phone: (912) 265-2142
Fax: (912) 265-0530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 052707 | Georgia |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 052707 | Georgia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 052707 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 052707 | Georgia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 052707 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 052707 | Georgia |
Profile Details
| NPI number | 1689656720 |
|---|---|
| LBN Legal business name | Dipreta, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Feb 13th, 2008 - about 16 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 | 1689656720 | NPPES |
| Georgia | MEDICAID | 487177354 | |
| Georgia | Other | DC4061 | |
| Georgia | Other | P00182483 | |
| Georgia | Other | 52046337014 | |
| Georgia | Other | 52046337012 |
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