Dietz, Paul D

Dietz, Paul D is an individual health care provider with primary practice located at 830 Pennsylvania Ave Suite 104, Charleston WV 25302-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dietz, Paul D can be contacted via phone (304) 388-1552.

Contact Information

Primary practice address
830 Pennsylvania Ave Suite 104 Charleston WV 25302-3302
Phone: (304) 388-1552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20953 West Virginia

Profile Details

NPI number 1922087592
LBN Legal business name Dietz, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922087592 NPPES
West Virginia MEDICAID 3810001038

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