Diekema, Daniel J
Diekema, Daniel J is an individual health care provider with primary practice located at 41 Donald B Dean Dr , South Portland ME 04106-3252. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Diekema, Daniel J can be contacted via phone (207) 661-7901.Contact Information
Primary practice address
41 Donald B Dean Dr
South Portland ME 04106-3252
Phone: (207) 661-7901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28731 | Iowa |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 28731 | Iowa |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 28731 | Iowa |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD14027 | Maine |
Profile Details
| NPI number | 1104801489 |
|---|---|
| LBN Legal business name | Diekema, Daniel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Sep 12th, 2022 - about 2 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 | 1104801489 | NPPES |
| Iowa | Other | 47989 | WELLMARK BCBS |
| Iowa | MEDICAID | 0098376 | WELLMARK BCBS |
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