Dietel, David Homer
Dietel, David Homer is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dietel, David Homer can be contacted via phone (970) 244-1977.Contact Information
Primary practice address
2635 N 7Th St
Grand Junction CO 81501-8209
Phone: (970) 244-1977
Fax: (970) 244-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 28013 | Colorado |
Profile Details
| NPI number | 1891753935 |
|---|---|
| LBN Legal business name | Dietel, David Homer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891753935 | NPPES |
| Colorado | MEDICAID | 01280130 | |
| Colorado | MEDICAID | T0840 |
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