Revere, D'Mario

Revere, D'Mario is an individual health care provider with primary practice located at 4465 George Washington Dr , Scott Afb IL 62225-6000. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Revere, D'Mario can be contacted via phone (678) 551-5369.

Contact Information

Primary practice address
4465 George Washington Dr Scott Afb IL 62225-6000
Phone: (678) 551-5369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1275954125
LBN Legal business name Revere, D'Mario
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2013
Last updated Dec 19th, 2013 - about 11 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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