Meursing, Diederik Frederik

Meursing, Diederik Frederik is an individual health care provider with primary practice located at 326 Nichols Rd , Fitchburg MA 01420-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Meursing, Diederik Frederik can be contacted via phone (978) 878-8100.

Contact Information

Primary practice address
326 Nichols Rd Fitchburg MA 01420-1914
Phone: (978) 878-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24935 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-41597 Kansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X 24935 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 246721 Massachusetts

Profile Details

NPI number 1073664033
LBN Legal business name Meursing, Diederik Frederik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 10th, 2021 - about 4 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 1073664033 NPPES
Oklahoma MEDICAID 200174480A

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