Diedrich, Scott F

Diedrich, Scott F is an individual health care provider with primary practice located at 1990 Industrial Boulevard , Houma LA 70363-7055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Diedrich, Scott F can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Boulevard Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A10602 Louisiana

Profile Details

NPI number 1548245814
LBN Legal business name Diedrich, Scott F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 14th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548245814 NPPES
Louisiana MEDICAID 1624829

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