Dietz, Richard A.

Dietz, Richard A. is an sole proprietor health care provider with primary practice located at 3525 Lawrenceville Suwanee Rd Suite 102, Suwanee GA 30024-2410. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dietz, Richard A. can be contacted via phone (770) 614-9599.

Contact Information

Primary practice address
3525 Lawrenceville Suwanee Rd Suite 102 Suwanee GA 30024-2410
Phone: (770) 614-9599
Fax: (770) 614-9597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04977 Georgia

Profile Details

NPI number 1447280896
LBN Legal business name Dietz, Richard A.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Dec 27th, 2010 - about 16 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 1447280896 NPPES
Georgia Other 35ZCGZZ MEDICARE

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