Dietrich, Joyce A

Dietrich, Joyce A is an individual health care provider with primary practice located at 4924 Campbell Blvd Suite 200, Baltimore MD 21236-5908. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Dietrich, Joyce A can be contacted via phone (443) 442-2300.

Contact Information

Primary practice address
4924 Campbell Blvd Suite 200 Baltimore MD 21236-5908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D57257 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D57257 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D57257 Maryland

Profile Details

NPI number 1902844962
LBN Legal business name Dietrich, Joyce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated May 9th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902844962 NPPES
Maryland MEDICAID 690401700

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