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Contact Information

JOHN DIMAGGIO, DPM
913 11TH ST SE
SUITE 2
BANDON, OR97411-9168
 Phone: 541-347-8283
 Fax: 541-347-3632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN DIMAGGIO · (Male)

NPI # 1497720973
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/20/2006
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP00364
  • OR Medicaid 271038
  • OR Other 840626000 BCBS OF OR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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