Diebold, Paul D

Diebold, Paul D is an individual health care provider with primary practice located at 6801 Dixie Hwy Suite 127, Louisville KY 40258-3913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Diebold, Paul D can be contacted via phone (502) 935-5633.

Contact Information

Primary practice address
6801 Dixie Hwy Suite 127 Louisville KY 40258-3913
Fax: (502) 395-5706
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 24046 Kentucky

Profile Details

NPI number 1871576058
LBN Legal business name Diebold, Paul D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated May 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871576058 NPPES
Kentucky Other 610956698-00 BLUE SHIELB

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