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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588645386 | NPPES |
| Delaware | Other | 232158285 | BCBS PROVIDER ID NUMBER |
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