Dierking, Barbara Lynn

Dierking, Barbara Lynn is an individual health care provider with primary practice located at 5700 Piasa Trl , Godfrey IL 62035-1030. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Dierking, Barbara Lynn can be contacted via phone (618) 946-6126.

Contact Information

Primary practice address
5700 Piasa Trl Godfrey IL 62035-1030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 2015032726 Missouri

Profile Details

NPI number 1235697491
LBN Legal business name Dierking, Barbara Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Jun 11th, 2019 - about 5 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 1235697491 NPPES
Missouri Other 2015032726 RN LICENSE

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