Diethelm, Nancy Elizabeth

Diethelm, Nancy Elizabeth is an sole proprietor health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as her primary health care specialty. Diethelm, Nancy Elizabeth can be contacted via phone (504) 842-4000.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Phone: (504) 842-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD.10144R Louisiana

Profile Details

NPI number 1528089208
LBN Legal business name Diethelm, Nancy Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Nov 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528089208 NPPES
Mississippi MEDICAID 04302561
Mississippi MEDICAID 1974731

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