Dietzel, Eberhardt Alan

Dietzel, Eberhardt Alan is an sole proprietor health care provider with primary practice located at 1006 Quincy St , Sturgeon Bay WI 54235-1829. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Dietzel, Eberhardt Alan can be contacted via phone (920) 559-8808.

Contact Information

Primary practice address
1006 Quincy St Sturgeon Bay WI 54235-1829
Phone: (920) 559-8808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1689435026
LBN Legal business name Dietzel, Eberhardt Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about 2 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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