Diedrichsen, Peter E
Diedrichsen, Peter E is an individual health care provider with primary practice located at 3772 43Rd Ave Suite A, Columbus NE 68601-1681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Diedrichsen, Peter E can be contacted via phone (402) 563-3686.Contact Information
Primary practice address
3772 43Rd Ave Suite A
Columbus NE 68601-1681
Phone: (402) 563-3686
Fax: (402) 564-1797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 14980 | Nebraska |
Profile Details
| NPI number | 1194702597 |
|---|---|
| LBN Legal business name | Diedrichsen, Peter E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Sep 8th, 2023 - about 2 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 | 1194702597 | NPPES |
| Nebraska | MEDICAID | 47082635813 | |
| Nebraska | Other | 01493 |
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