Dicorleto, Peter A

Dicorleto, Peter A is an sole proprietor health care provider with primary practice located at 1832 Ward Dr Suite 102, Murfreesboro TN 37129-0568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dicorleto, Peter A can be contacted via phone (615) 893-0790.

Contact Information

Primary practice address
1832 Ward Dr Suite 102 Murfreesboro TN 37129-0568
Phone: (615) 893-0790
Fax: (615) 893-0772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22875 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28537 Tennessee

Profile Details

NPI number 1811985815
LBN Legal business name Dicorleto, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Mar 7th, 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 1811985815 NPPES
Connecticut Other 22875 MEDICAL LICENSE
Connecticut Other 28537 MEDICAL LICENSE
Connecticut MEDICAID 3804078 MEDICAL LICENSE

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