Iacobelli, Davide

Iacobelli, Davide is an individual health care provider with primary practice located at 16510 19 Mile Rd , Clinton Township MI 48038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Iacobelli, Davide can be contacted via phone (586) 263-7200.

Contact Information

Primary practice address
16510 19 Mile Rd Clinton Township MI 48038
Phone: (586) 263-7200
Fax: (586) 286-8007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301045230 Michigan

Profile Details

NPI number 1992783872
LBN Legal business name Iacobelli, Davide
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 25th, 2012 - about 12 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 1992783872 NPPES
Michigan MEDICAID 1044574

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