Thies, Diedra
Thies, Diedra is an individual health care provider with primary practice located at 1021 N 27Th St , Lincoln NE 68503-1803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thies, Diedra can be contacted via phone (402) 476-1455.Contact Information
Primary practice address
1021 N 27Th St
Lincoln NE 68503-1803
Phone: (402) 476-1455
Fax: (402) 476-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 112018 | Nebraska |
Profile Details
| NPI number | 1790135481 |
|---|---|
| LBN Legal business name | Thies, Diedra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2016 |
| Last updated | Jun 20th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790135481 | NPPES |
| Nebraska | MEDICAID | 10025024300 | |
| Nebraska | MEDICAID | 10025024400 |
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