Deitrich, Patricia
Deitrich, Patricia is an individual health care provider with primary practice located at 1000 Market St Suite 11, Bloomsburg PA 17815-2600. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Deitrich, Patricia can be contacted via phone (570) 784-1896.Contact Information
Primary practice address
1000 Market St Suite 11
Bloomsburg PA 17815-2600
Phone: (570) 784-1896
Fax: (570) 784-1897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT005500L | Pennsylvania |
Profile Details
| NPI number | 1619020112 |
|---|---|
| LBN Legal business name | Deitrich, Patricia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1619020112 | NPPES |
| Pennsylvania | Other | 34765 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 547051 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 50066058 | HIGHMARK BLUE SHIELD |
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