Diedrichsen, Peter E

Diedrichsen, Peter E is an individual health care provider with primary practice located at 3772 43Rd Ave Suite A, Columbus NE 68601-1681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Diedrichsen, Peter E can be contacted via phone (402) 563-3686.

Contact Information

Primary practice address
3772 43Rd Ave Suite A Columbus NE 68601-1681
Phone: (402) 563-3686
Fax: (402) 564-1797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14980 Nebraska

Profile Details

NPI number 1194702597
LBN Legal business name Diedrichsen, Peter E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Sep 8th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194702597 NPPES
Nebraska MEDICAID 47082635813
Nebraska Other 01493

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