Diebold, Deanna Jo

Diebold, Deanna Jo is an individual health care provider with primary practice located at 3366 Oakdale Ave N Ste 401 , Robbinsdale MN 55422-2986. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Diebold, Deanna Jo can be contacted via phone (635) 202-9407.

Contact Information

Primary practice address
3366 Oakdale Ave N Ste 401 Robbinsdale MN 55422-2986
Phone: (635) 202-9407
Fax: (763) 520-2943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 37330 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 37330 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37330 Minnesota

Profile Details

NPI number 1235166737
LBN Legal business name Diebold, Deanna Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 30th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235166737 NPPES
Iowa MEDICAID 0598920
Iowa MEDICAID 32297100
Iowa Other 114004
Iowa MEDICAID 315812800
Iowa Other 510K9DI
Iowa Other 04-07870
Iowa Other HP19625
Iowa MEDICAID 0147135
Iowa Other 887653
Iowa Other 04-00123

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