Diek, Geoffrey David
Diek, Geoffrey David is an sole proprietor health care provider with primary practice located at 4145 North Gloucester Place , Atlanta GA 30341-1249. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Diek, Geoffrey David can be contacted via phone (404) 992-6229.Contact Information
Primary practice address
4145 North Gloucester Place
Atlanta GA 30341-1249
Phone: (404) 992-6229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | PT005701 | Georgia |
Profile Details
| NPI number | 1033219159 |
|---|---|
| LBN Legal business name | Diek, Geoffrey David |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Dec 29th, 2011 - about 14 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 | 1033219159 | NPPES |
| Georgia | Other | PT005701 | STATE LIC |
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