Diede, Dale Darwin
Diede, Dale Darwin is an sole proprietor health care provider with primary practice located at 202 Prospect Dr , Glendive MT 59330-1943. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Diede, Dale Darwin can be contacted via phone (406) 345-3306.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 166 | Montana |
Profile Details
| NPI number | 1922156421 |
|---|---|
| LBN Legal business name | Diede, Dale Darwin |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Feb 14th, 2024 - about 2 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 | 1922156421 | NPPES |
| Montana | Other | 93083 | BLUE CROSS |
| Montana | MEDICAID | 0437606 | BLUE CROSS |
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