Dierking, Darcia M
Dierking, Darcia M is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dierking, Darcia M can be contacted via phone (612) 672-6000.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147001331 | Illinois |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 214 | Nebraska |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 9260 | Minnesota |
Profile Details
NPI number | 1780741942 |
---|---|
LBN Legal business name | Dierking, Darcia M |
Credentials | AU.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2007 |
Last updated | Apr 11th, 2022 - about 3 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 | 1780741942 | NPPES |
Nebraska | Other | 06633 | BCBS BT |
Nebraska | Other | 06634 | BCBS BT |
Nebraska | MEDICAID | 1585323 | BCBS BT |
Nebraska | MEDICAID | 9585323 | BCBS BT |
Nebraska | MEDICAID | 7585323 | BCBS BT |
Nebraska | MEDICAID | 4585323 | BCBS BT |
Nebraska | MEDICAID | 0585323 | BCBS BT |
Nebraska | MEDICAID | 0585349 | BCBS BT |
Nebraska | MEDICAID | 1585349 | BCBS BT |
Nebraska | MEDICAID | 5585323 | BCBS BT |
Nebraska | MEDICAID | 2585349 | BCBS BT |
Nebraska | MEDICAID | 6585323 | BCBS BT |
Nebraska | MEDICAID | 3585323 | BCBS BT |
Nebraska | MEDICAID | 3585349 | BCBS BT |
Nebraska | MEDICAID | 8285323 | BCBS BT |
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