Provider Demographics
NPI:1548218837
Name:DEABATE, GIUSEPPE A (APRN)
Entity Type:Individual
Prefix:
First Name:GIUSEPPE
Middle Name:A
Last Name:DEABATE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:EAST PALESTINE
Mailing Address - State:OH
Mailing Address - Zip Code:44413-2019
Mailing Address - Country:US
Mailing Address - Phone:330-426-9484
Mailing Address - Fax:330-426-2248
Practice Address - Street 1:132 N MARKET ST
Practice Address - Street 2:
Practice Address - City:EAST PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413-2019
Practice Address - Country:US
Practice Address - Phone:330-426-9484
Practice Address - Fax:330-426-2248
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1897363L00000X
OHAPRN.CNP.15692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0201968Medicaid
AA10337919Medicare ID - Type Unspecified
Q49378Medicare UPIN