Dierks, Martin Lee
Dierks, Martin Lee is an individual health care provider with primary practice located at 2915 Parthenon Dr , De Soto MO 63020-4645. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Dierks, Martin Lee can be contacted via phone (757) 650-8436.Contact Information
Primary practice address
2915 Parthenon Dr
De Soto MO 63020-4645
Phone: (757) 650-8436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1902132434 |
|---|---|
| LBN Legal business name | Dierks, Martin Lee |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2009 |
| Last updated | Oct 17th, 2009 - about 15 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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