Dietrich, Jeffrey James

Dietrich, Jeffrey James is an individual health care provider with primary practice located at 46 Markfield Dr Ste A , Charleston SC 29407-6982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Dietrich, Jeffrey James can be contacted via phone (843) 556-7048.

Contact Information

Primary practice address
46 Markfield Dr Ste A Charleston SC 29407-6982
Phone: (843) 556-7048
Fax: (843) 556-2938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD32410 South Carolina

Profile Details

NPI number 1528049780
LBN Legal business name Dietrich, Jeffrey James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 19th, 2023 - about 3 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 1528049780 NPPES
South Carolina MEDICAID 324107

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