Dieterle, Janet Marie

Dieterle, Janet Marie is an sole proprietor health care provider with primary practice located at 1039 Reservoir Ave , Cranston RI 02910-5135. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Dieterle, Janet Marie can be contacted via phone (401) 516-3742.

Contact Information

Primary practice address
1039 Reservoir Ave Cranston RI 02910-5135
Phone: (401) 516-3742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT01611 Rhode Island

Profile Details

NPI number 1104161934
LBN Legal business name Dieterle, Janet Marie
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 13 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 1104161934 NPPES
Rhode Island Other MT01611 DEPARTMENT OF HEALTH

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