Diclemente, Michael J

Diclemente, Michael J is an individual health care provider with primary practice located at 810 W Highway 71 , Marble Falls TX 78654-8602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Diclemente, Michael J can be contacted via phone (830) 201-8000.

Contact Information

Primary practice address
810 W Highway 71 Marble Falls TX 78654-8602
Phone: (830) 201-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L6357 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C1-0024788 Delaware

Profile Details

NPI number 1639160088
LBN Legal business name Diclemente, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 18th, 2023 - about 2 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 1639160088 NPPES
Texas MEDICAID 158824-01

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