Diedrick, Olivia

Diedrick, Olivia is an individual health care provider with primary practice located at W129N7055 Northfield Dr , Menomonee Falls WI 53051-0538. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diedrick, Olivia can be contacted via phone (262) 253-5400.

Contact Information

Primary practice address
W129N7055 Northfield Dr Menomonee Falls WI 53051-0538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1871126805
LBN Legal business name Diedrick, Olivia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2020
Last updated Feb 18th, 2020 - 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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