Diercksen, Hans Peter

Diercksen, Hans Peter is an individual health care provider with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diercksen, Hans Peter can be contacted via phone (802) 468-5641.

Contact Information

Primary practice address
275 Route 30 N Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420006786 Vermont

Profile Details

NPI number 1518984541
LBN Legal business name Diercksen, Hans Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Nov 29th, 2016 - about 8 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 1518984541 NPPES
Vermont MEDICAID 0005458
Vermont MEDICAID 02622237

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