Dieter, M. Lyndon
Dieter, M. Lyndon is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dieter, M. Lyndon can be contacted via phone (509) 765-5606.Contact Information
Primary practice address
801 E Wheeler Rd
Moses Lake WA 98837-1899
Phone: (509) 765-5606
Fax: (509) 764-3244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 125.054676 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036.124143 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1452 | Arizona |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD60212924 | Washington |
Profile Details
| NPI number | 1508857103 |
|---|---|
| LBN Legal business name | Dieter, M. Lyndon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 17th, 2022 - about 2 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 | 1508857103 | NPPES |
| Washington | MEDICAID | 2015006 | |
| Washington | Other | 453051001 | |
| Washington | Other | 860373636 | |
| Washington | Other | AW1436 | |
| Washington | Other | 3981220 | |
| Washington | MEDICAID | 358566 |
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