Clemente, Michelle Dizon

Clemente, Michelle Dizon is an individual health care provider with primary practice located at 863 Buttner Pl Suite 103, Dover DE 19904-2406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clemente, Michelle Dizon can be contacted via phone (302) 734-3331.

Contact Information

Primary practice address
863 Buttner Pl Suite 103 Dover DE 19904-2406
Phone: (302) 734-3331
Fax: (302) 734-9908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0007712 Delaware

Profile Details

NPI number 1588645386
LBN Legal business name Clemente, Michelle Dizon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated May 22nd, 2009 - about 17 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 1588645386 NPPES
Delaware Other 232158285 BCBS PROVIDER ID NUMBER

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