Dieck, John Anthony
Dieck, John Anthony is an individual health care provider with primary practice located at 4316 James Casey St Building A, Austin TX 78745-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dieck, John Anthony can be contacted via phone (512) 623-5300.Contact Information
Primary practice address
4316 James Casey St Building A
Austin TX 78745-1157
Phone: (512) 623-5300
Fax: (512) 623-5399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G8081 | Texas |
Profile Details
| NPI number | 1427059310 |
|---|---|
| LBN Legal business name | Dieck, John Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jun 24th, 2011 - about 13 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 | 1427059310 | NPPES |
| Texas | MEDICAID | 131632508 | |
| Texas | Other | P00706404 | |
| Texas | Other | 060012108 | |
| Texas | Other | 8BX076 | |
| Texas | MEDICAID | 131632501 | |
| Texas | MEDICAID | 131632507 | |
| Texas | Other | P00700180 |
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