Diepstra, Albert A.
Diepstra, Albert A. is an individual health care provider with primary practice located at 342 Sherwood Rd , La Grange Park IL 60526-1967. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Diepstra, Albert A. can be contacted via phone (708) 482-4610.Contact Information
Primary practice address
342 Sherwood Rd
La Grange Park IL 60526-1967
Phone: (708) 482-4610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19A15115 | Illinois |
Profile Details
| NPI number | 1356518179 |
|---|---|
| LBN Legal business name | Diepstra, Albert A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2008 |
| Last updated | May 12th, 2008 - about 17 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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