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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1972562429 NPPES
New York Other 16-1562329 TAX ID NO

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