Diebold, Deanna Jo
Diebold, Deanna Jo is an individual health care provider with primary practice located at 3366 Oakdale Ave N Ste 401 , Robbinsdale MN 55422-2986. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Diebold, Deanna Jo can be contacted via phone (635) 202-9407.Contact Information
Primary practice address
3366 Oakdale Ave N Ste 401
Robbinsdale MN 55422-2986
Phone: (635) 202-9407
Fax: (763) 520-2943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 37330 | Minnesota |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 37330 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37330 | Minnesota |
Profile Details
| NPI number | 1235166737 |
|---|---|
| LBN Legal business name | Diebold, Deanna Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235166737 | NPPES |
| Iowa | MEDICAID | 0598920 | |
| Iowa | MEDICAID | 32297100 | |
| Iowa | Other | 114004 | |
| Iowa | MEDICAID | 315812800 | |
| Iowa | Other | 510K9DI | |
| Iowa | Other | 04-07870 | |
| Iowa | Other | HP19625 | |
| Iowa | MEDICAID | 0147135 | |
| Iowa | Other | 887653 | |
| Iowa | Other | 04-00123 |
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