Dirisi, Donald A.

Dirisi, Donald A. is an individual health care provider with primary practice located at 46 Barra Rd Ste 101 , Biddeford ME 04005. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Dirisi, Donald A. can be contacted via phone (207) 282-5509.

Contact Information

Primary practice address
46 Barra Rd Ste 101 Biddeford ME 04005
Phone: (207) 282-5509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1662 Maine
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 010518 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1662 Maine

Profile Details

NPI number 1720124316
LBN Legal business name Dirisi, Donald A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 11th, 2019 - about 6 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 1720124316 NPPES
New York MEDICAID 03417874

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