Dietsche, Lori L
Dietsche, Lori L is an sole proprietor health care provider with primary practice located at 1258 N San Dimas Canyon Rd , San Dimas CA 91773-1223. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dietsche, Lori L can be contacted via phone (909) 305-1231.Contact Information
Primary practice address
1258 N San Dimas Canyon Rd
San Dimas CA 91773-1223
Phone: (909) 305-1231
Fax: (909) 305-0432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC22645 | California |
Profile Details
| NPI number | 1609967579 |
|---|---|
| LBN Legal business name | Dietsche, Lori L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1609967579 | NPPES |
| California | MEDICAID | 6585831 |
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