Dieckmann, Ron

Dieckmann, Ron is an individual health care provider with primary practice located at 5843 Buena Vista Ave , Oakland CA 94618-2122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dieckmann, Ron can be contacted via phone (510) 213-1815.

Contact Information

Primary practice address
5843 Buena Vista Ave Oakland CA 94618-2122
Phone: (510) 213-1815
Fax: (510) 213-1815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G36970 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X G36970 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G36970 California

Profile Details

NPI number 1306973615
LBN Legal business name Dieckmann, Ron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306973615 NPPES
California MEDICAID 00G369700

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