Dietrich, Lindsey Nicole

Dietrich, Lindsey Nicole is an individual health care provider with primary practice located at 4401 Park Springs Blvd Ste 130 , Arlington TX 76017-1935. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Dietrich, Lindsey Nicole can be contacted via phone (817) 960-9120.

Contact Information

Primary practice address
4401 Park Springs Blvd Ste 130 Arlington TX 76017-1935
Phone: (817) 960-9120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X Q0243 Texas

Profile Details

NPI number 1801057179
LBN Legal business name Dietrich, Lindsey Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Mar 28th, 2022 - about 4 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 1801057179 NPPES
Texas MEDICAID 337287201

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