Disiena, Michael Ross

Disiena, Michael Ross is an individual health care provider with primary practice located at 777 North St Suite 407, Pittsfield MA 01201-4147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Disiena, Michael Ross can be contacted via phone (413) 445-6420.

Contact Information

Primary practice address
777 North St Suite 407 Pittsfield MA 01201-4147
Phone: (413) 445-6420
Fax: (413) 499-4907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 155050 Massachusetts

Profile Details

NPI number 1770572273
LBN Legal business name Disiena, Michael Ross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 26th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770572273 NPPES
Massachusetts MEDICAID 2107775

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