Diveris, John M
Diveris, John M is an sole proprietor health care provider with primary practice located at 333 W 89Th Ave Suite W5, Merrillville IN 46410-7073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Diveris, John M can be contacted via phone (219) 755-4448.Contact Information
Primary practice address
333 W 89Th Ave Suite W5
Merrillville IN 46410-7073
Phone: (219) 755-4448
Fax: (219) 755-4454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01040065A | Indiana |
Profile Details
| NPI number | 1831198324 |
|---|---|
| LBN Legal business name | Diveris, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Aug 27th, 2012 - about 14 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 | 1831198324 | NPPES |
| Indiana | Other | 000000381584 | ANTHEM |
| Indiana | MEDICAID | 200010670 | ANTHEM |
Popular Providers
-
Park, Thomas M
3334 Capital Medical Blvd Ste. 400, Tallahassee FL 32308-8405 -
Ackerman, Timothy S
820 Sir Thomas Ct , Harrisburg PA 17109-4839 -
Moultrie, H Carl
255 E 90Th Dr Suite W1, Merrillville IN 46410 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Jordan, Steve E
1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809 -
Miller, Alexander C.
8900 Broadway Ste A, Merrillville IN 46410-7040 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Pomponi, John Joseph
333 W 89Th Ave Ste W5 , Merrillville IN 46410-7050