Diem, Thomas J
Diem, Thomas J is an sole proprietor health care provider with primary practice located at 500 Osborne Rd Ne Unity Professional Bldg Suite 350, Fridley MN 55432-2765. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Diem, Thomas J can be contacted via phone (763) 780-8927.Contact Information
Primary practice address
500 Osborne Rd Ne Unity Professional Bldg Suite 350
Fridley MN 55432-2765
Phone: (763) 780-8927
Fax: (763) 780-1286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 24664 | Minnesota |
Profile Details
| NPI number | 1023107224 |
|---|---|
| LBN Legal business name | Diem, Thomas J |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023107224 | NPPES |
| Minnesota | Other | 1305105 | MEDICA ID |
| Minnesota | Other | 03507AE | MEDICA ID |
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