Dinverno, Joel Benjamin

Dinverno, Joel Benjamin is an sole proprietor health care provider with primary practice located at 11755 E Michigan Ave , Grass Lake MI 49240-9219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dinverno, Joel Benjamin can be contacted via phone (517) 522-6100.

Contact Information

Primary practice address
11755 E Michigan Ave Grass Lake MI 49240-9219
Phone: (517) 522-6100
Fax: (517) 522-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301073676 Michigan

Profile Details

NPI number 1104865633
LBN Legal business name Dinverno, Joel Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jan 26th, 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 1104865633 NPPES
Michigan Other 3503810581 BCBS
Michigan MEDICAID 104717265 BCBS

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