Dietz, Pam

Dietz, Pam is an individual health care provider with primary practice located at 13050 Parkside Dr 150, Fishers IN 46038-8247. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Dietz, Pam can be contacted via phone (317) 621-9000.

Contact Information

Primary practice address
13050 Parkside Dr 150 Fishers IN 46038-8247
Phone: (317) 621-9000
Fax: (317) 621-9194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2811972A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2811972A Indiana

Profile Details

NPI number 1992900450
LBN Legal business name Dietz, Pam
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Feb 24th, 2012 - about 14 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 1992900450 NPPES
Indiana Other 351767385 TAX ID

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