Diederich, Jennifer Ann

Diederich, Jennifer Ann is an individual health care provider with primary practice located at 200 Bunker Hill Dr , Aitkin MN 56431-1865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Diederich, Jennifer Ann can be contacted via phone (218) 927-2157.

Contact Information

Primary practice address
200 Bunker Hill Dr Aitkin MN 56431-1865
Phone: (218) 927-2157
Fax: (218) 927-5319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 8227 Minnesota

Profile Details

NPI number 1578237962
LBN Legal business name Diederich, Jennifer Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2021
Last updated Aug 9th, 2021 - about 4 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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