Dittmer, Thomas Edward

Dittmer, Thomas Edward is an individual health care provider with primary practice located at 1600 Morgan St , Keokuk IA 52632-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Microbiology, which is considered as his primary health care specialty. Dittmer, Thomas Edward can be contacted via phone (319) 526-8750.

Contact Information

Primary practice address
1600 Morgan St Keokuk IA 52632-3456
Phone: (319) 526-8750
Fax: (319) 524-5317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 35921 Iowa

Profile Details

NPI number 1477576692
LBN Legal business name Dittmer, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1477576692 NPPES
Iowa Other 38633 BLUE CROSS
Iowa MEDICAID 0457275 BLUE CROSS

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