Dieterich, David Daniel

Dieterich, David Daniel is an individual health care provider with primary practice located at 455 Pinellas St Suite 400, Clearwater FL 33756-3356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dieterich, David Daniel can be contacted via phone (727) 445-1991.

Contact Information

Primary practice address
455 Pinellas St Suite 400 Clearwater FL 33756-3356
Phone: (727) 445-1991
Fax: (727) 445-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 053669 Florida

Profile Details

NPI number 1083603591
LBN Legal business name Dieterich, David Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Oct 26th, 2012 - about 13 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 1083603591 NPPES
Florida MEDICAID 065988600
Florida Other 82318X

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