Deitz, Thomas Aaron

Deitz, Thomas Aaron is an individual health care provider with primary practice located at 1725 Pine St , Montgomery AL 36106-1109. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Deitz, Thomas Aaron can be contacted via phone (334) 293-8000.

Contact Information

Primary practice address
1725 Pine St Montgomery AL 36106-1109
Phone: (334) 293-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 703720 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-073507 Alabama

Profile Details

NPI number 1235213083
LBN Legal business name Deitz, Thomas Aaron
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 4th, 2016 - about 8 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 1235213083 NPPES
Texas MEDICAID 191852602
Texas MEDICAID 191852601

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