Dietel, David Homer

Dietel, David Homer is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dietel, David Homer can be contacted via phone (970) 244-1977.

Contact Information

Primary practice address
2635 N 7Th St Grand Junction CO 81501-8209
Phone: (970) 244-1977
Fax: (970) 244-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 28013 Colorado

Profile Details

NPI number 1891753935
LBN Legal business name Dietel, David Homer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 9th, 2007 - about 17 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 1891753935 NPPES
Colorado MEDICAID 01280130
Colorado MEDICAID T0840

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