Dietrich, Aaron L

Dietrich, Aaron L is an individual health care provider with primary practice located at 27 Grand St , Kingston NY 12401-3933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dietrich, Aaron L can be contacted via phone (845) 338-1535.

Contact Information

Primary practice address
27 Grand St Kingston NY 12401-3933
Fax: (845) 334-9879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208411-1 New York

Profile Details

NPI number 1033174362
LBN Legal business name Dietrich, Aaron L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jun 9th, 2021 - about 3 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 1033174362 NPPES
New York MEDICAID 01951399

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