Macariola, Demetrio Rebano

Macariola, Demetrio Rebano is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Ground Floor, Johnson City TN 37604-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Macariola, Demetrio Rebano can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N State Of Franklin Rd Ground Floor Johnson City TN 37604-6062
Phone: (423) 439-7320
Fax: (423) 439-7343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD43116 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD43116 Tennessee

Profile Details

NPI number 1093812489
LBN Legal business name Macariola, Demetrio Rebano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 18th, 2024 - about 10 months 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 1093812489 NPPES
Tennessee MEDICAID 1506884

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