Diefenbach, Tracy M

Diefenbach, Tracy M is an individual health care provider with primary practice located at 13952 387Th Ave , Warner SD 57479-6304. She recently has only one registered license in Other Service Providers / Research Study, which is considered as her primary health care specialty. Diefenbach, Tracy M can be contacted via phone (605) 252-8792.

Contact Information

Primary practice address
13952 387Th Ave Warner SD 57479-6304
Phone: (605) 252-8792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X

Profile Details

NPI number 1649940115
LBN Legal business name Diefenbach, Tracy M
Credentials PHD MRMS CCTP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2021
Last updated Sep 16th, 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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