Diehl, Jeremy Howard

Diehl, Jeremy Howard is an individual health care provider with primary practice located at 2702 Ne 78Th St Suite 108, Vancouver WA 98665-0665. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Diehl, Jeremy Howard can be contacted via phone (360) 693-1200.

Contact Information

Primary practice address
2702 Ne 78Th St Suite 108 Vancouver WA 98665-0665
Phone: (360) 693-1200
Fax: (360) 693-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DE60083669 Washington

Profile Details

NPI number 1023248291
LBN Legal business name Diehl, Jeremy Howard
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated May 28th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023248291 NPPES
Washington Other 1346478906 NATIONAL PROVIDER IDENTIFICATION NUMBER TYPE 2

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