Dierking, Randall Frederick
Dierking, Randall Frederick is an individual health care provider with primary practice located at 1 Wahoo Ave Undersea Medicine, Groton CT 06340-2324. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Dierking, Randall Frederick can be contacted via phone (860) 449-4247.Contact Information
Primary practice address
1 Wahoo Ave Undersea Medicine
Groton CT 06340-2324
Phone: (860) 449-4247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1790752111 |
|---|---|
| LBN Legal business name | Dierking, Randall Frederick |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | May 3rd, 2010 - about 14 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.
Popular Providers
-
Napolitano, Michael
Building 76 2Nd Deck Naval Submarine Base Nlon Naval Submarine Support Center Groton, Groton CT 06349 -
Roberts, Daniel Curtis
159 Trout Ave , Groton CT 06349-5159 -
Johnson, Mark Haley
Nlon Medical Department Bldg 76 Naval Submarine Base, Groton CT 06340 -
Underwood, Roy L
1 Wahoo Ave , Groton CT 06340-2324 -
Mcgregor, Jeffrey Lynn
1 Wahoo Ave Undersea Medicine, Groton CT 06340-2324 -
Mcneely, Matthew Cody
96 Michigan Drive , Groton CT 06340 -
Reed, John
141 Trout Ave Navsubase Nlon, Groton CT 06349-5900 -
Schriever, Karl Frederick
1 Wahoo Drive Naval Branch Health Clinic, Groton CT 06349-5600