Diem, Thomas J

Diem, Thomas J is an sole proprietor health care provider with primary practice located at 500 Osborne Rd Ne Unity Professional Bldg Suite 350, Fridley MN 55432-2765. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Diem, Thomas J can be contacted via phone (763) 780-8927.

Contact Information

Primary practice address
500 Osborne Rd Ne Unity Professional Bldg Suite 350 Fridley MN 55432-2765
Phone: (763) 780-8927
Fax: (763) 780-1286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24664 Minnesota

Profile Details

NPI number 1023107224
LBN Legal business name Diem, Thomas J
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023107224 NPPES
Minnesota Other 1305105 MEDICA ID
Minnesota Other 03507AE MEDICA ID

Popular Providers