Diede, James H

Diede, James H is an sole proprietor health care provider with primary practice located at 11024 N 28Th Dr Ste:160, Phoenix AZ 85029-4377. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Other Service Providers / Specialist is his primary health care specialty. Diede, James H can be contacted via phone (602) 863-3924.

Contact Information

Primary practice address
11024 N 28Th Dr Ste:160 Phoenix AZ 85029-4377
Phone: (602) 863-3924
Fax: (602) 863-3926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18915 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 18915 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 18915 Arizona

Profile Details

NPI number 1679569685
LBN Legal business name Diede, James H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Mar 15th, 2018 - about 6 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 1679569685 NPPES
Arizona MEDICAID 349185

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