Ippolito, Robert
Ippolito, Robert is an individual health care provider with primary practice located at 9 Medical Pkwy Ste 102 , Dallas TX 75234-7852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Ippolito, Robert can be contacted via phone (214) 553-3323.Contact Information
Primary practice address
9 Medical Pkwy Ste 102
Dallas TX 75234-7852
Phone: (214) 553-3323
Fax: (214) 553-3308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | H9653 | Texas |
Profile Details
| NPI number | 1124077573 |
|---|---|
| LBN Legal business name | Ippolito, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Aug 4th, 2008 - about 18 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 | 1124077573 | NPPES |
| Texas | MEDICAID | 096867902 | |
| Texas | Other | MDH9653 | |
| Texas | Other | 0063EQ | |
| Texas | MEDICAID | 096867903 |
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