Divito, Stephen Tyler
Divito, Stephen Tyler is an sole proprietor health care provider with primary practice located at 572 Titus Ave Suite C, Rochester NY 14617-3519. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Divito, Stephen Tyler can be contacted via phone (585) 544-4077.Contact Information
Primary practice address
572 Titus Ave Suite C
Rochester NY 14617-3519
Phone: (585) 544-4077
Fax: (585) 544-4070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X009211 | New York |
Profile Details
| NPI number | 1972562429 |
|---|---|
| LBN Legal business name | Divito, Stephen Tyler |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | May 7th, 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 | 1972562429 | NPPES |
| New York | Other | 16-1562329 | TAX ID NO |
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