Divina, Darius Jose Ayala
Divina, Darius Jose Ayala is an individual health care provider with primary practice located at 1501 N Bickett Blvd Ste E , Louisburg NC 27549-2178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Divina, Darius Jose Ayala can be contacted via phone (919) 497-8380.Contact Information
Primary practice address
1501 N Bickett Blvd Ste E
Louisburg NC 27549-2178
Phone: (919) 497-8380
Fax: (919) 497-8385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 1135 | South Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2018-02770 | North Carolina |
Profile Details
| NPI number | 1366544843 |
|---|---|
| LBN Legal business name | Divina, Darius Jose Ayala |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2006 |
| Last updated | Sep 22nd, 2022 - 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 | 1366544843 | NPPES |
| South Carolina | Other | 3255 | MEDICARE PTAN FOR ABBEVILLE OFFICE |
| South Carolina | MEDICAID | 011356 | MEDICARE PTAN FOR ABBEVILLE OFFICE |
| South Carolina | MEDICAID | 1366544843 | MEDICARE PTAN FOR ABBEVILLE OFFICE |
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