Divito, Michelle C

Divito, Michelle C is an individual health care provider with primary practice located at 1701 N George Mason Dr Virginia Hospital Center, Arlington VA 22205-3610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Divito, Michelle C can be contacted via phone (703) 558-6167.

Contact Information

Primary practice address
1701 N George Mason Dr Virginia Hospital Center Arlington VA 22205-3610
Phone: (703) 558-6167
Fax: (703) 558-5355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101237831 Virginia

Profile Details

NPI number 1114916632
LBN Legal business name Divito, Michelle C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1114916632 NPPES
Virginia MEDICAID 010171067

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