Fanopoulos, Dimitrios I

Fanopoulos, Dimitrios I is an individual health care provider with primary practice located at 1905 E. Huebbe Parkway Beloit Health System Inc., Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Fanopoulos, Dimitrios I can be contacted via phone (608) 364-2200.

Contact Information

Primary practice address
1905 E. Huebbe Parkway Beloit Health System Inc. Beloit WI 53511-1842
Phone: (608) 364-2200
Fax: (608) 364-2705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 41141020 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036-093988 Illinois

Profile Details

NPI number 1326056094
LBN Legal business name Fanopoulos, Dimitrios I
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 19th, 2011 - about 14 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 1326056094 NPPES
Other 12205 DEAN HEALTH PLAN HMO
MEDICAID 1326056094 DEAN HEALTH PLAN HMO

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