Dietrich, Jon

Dietrich, Jon is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr Sammc, Pediatric Residency Program, Jbsa Ft Sam Houston TX 78234-4504. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Dietrich, Jon can be contacted via phone (210) 916-9332.

Contact Information

Primary practice address
3551 Roger Brooke Dr Sammc, Pediatric Residency Program Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 916-9332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1689094732
LBN Legal business name Dietrich, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2014
Last updated Apr 16th, 2014 - about 12 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

Popular Providers