Diedrick, Wayne
Diedrick, Wayne is an sole proprietor health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Diedrick, Wayne can be contacted via phone (954) 987-2020.Contact Information
Primary practice address
3501 Johnson St
Hollywood FL 33021-5421
Phone: (954) 987-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA3021 | Florida |
Profile Details
| NPI number | 1083626386 |
|---|---|
| LBN Legal business name | Diedrick, Wayne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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