Diethelm, Richard G

Diethelm, Richard G is an individual health care provider with primary practice located at 48 Medical Park Dr E Suite 351, Birmingham AL 35235-3430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Diethelm, Richard G can be contacted via phone (205) 836-9366.

Contact Information

Primary practice address
48 Medical Park Dr E Suite 351 Birmingham AL 35235-3430
Phone: (205) 836-9366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26360 Alabama

Profile Details

NPI number 1851518476
LBN Legal business name Diethelm, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 19th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851518476 NPPES
Alabama MEDICAID 009910701
Alabama Other 051005449
Alabama Other 26360
Alabama Other P00417763

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