Dietl, Ernest L

Dietl, Ernest L is an individual health care provider with primary practice located at 5 Centre St Suite 1, Park Forest IL 60466-2001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dietl, Ernest L can be contacted via phone (708) 748-2800.

Contact Information

Primary practice address
5 Centre St Suite 1 Park Forest IL 60466-2001
Phone: (708) 748-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1871535963
LBN Legal business name Dietl, Ernest L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 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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