Diebold, Jeffrey C.
Diebold, Jeffrey C. is an sole proprietor health care provider with primary practice located at 143 E Park Ave Second Floor, Long Beach NY 11561-3548. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Diebold, Jeffrey C. can be contacted via phone (718) 309-7782.Contact Information
Primary practice address
143 E Park Ave Second Floor
Long Beach NY 11561-3548
Phone: (718) 309-7782
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016440 | New York |
Profile Details
| NPI number | 1538284781 |
|---|---|
| LBN Legal business name | Diebold, Jeffrey C. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Apr 21st, 2009 - about 16 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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