Diehl, Jennifer
Diehl, Jennifer is an sole proprietor health care provider with primary practice located at 211 Main St , Waterville ME 04901-6117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Diehl, Jennifer can be contacted via phone (207) 877-3400.Contact Information
Primary practice address
211 Main St
Waterville ME 04901-6117
Phone: (207) 877-3400
Fax: (207) 877-3401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 017871 | Maine |
Profile Details
NPI number | 1003944646 |
---|---|
LBN Legal business name | Diehl, Jennifer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2007 |
Last updated | Mar 3rd, 2020 - about 5 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 | 1003944646 | NPPES |
Maine | MEDICAID | 1003944646 |
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