Divittorio, Gino
Divittorio, Gino is an individual health care provider with primary practice located at 75 S University Blvd , Mobile AL 36608-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Divittorio, Gino can be contacted via phone (251) 660-5787.Contact Information
Primary practice address
75 S University Blvd
Mobile AL 36608-3271
Phone: (251) 660-5787
Fax: (251) 460-7923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 00009491 | Alabama |
Profile Details
| NPI number | 1366456295 |
|---|---|
| LBN Legal business name | Divittorio, Gino |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 25th, 2022 - about 3 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 | 1366456295 | NPPES |
| Alabama | MEDICAID | 000093050 |
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