Diederich, Christine
Diederich, Christine is an individual health care provider with primary practice located at 100 2Nd St S , Sartell MN 56377-1977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Diederich, Christine can be contacted via phone (320) 251-2600.Contact Information
Primary practice address
100 2Nd St S
Sartell MN 56377-1977
Phone: (320) 251-2600
Fax: (320) 251-4763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R128637-3 | Minnesota |
Profile Details
| NPI number | 1447212345 |
|---|---|
| LBN Legal business name | Diederich, Christine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jan 31st, 2017 - about 7 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 | 1447212345 | NPPES |
| Minnesota | MEDICAID | 376718300 |
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