Dietrich, Allen
Dietrich, Allen is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dietrich, Allen can be contacted via phone (603) 650-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6588 | New Hampshire |
Profile Details
| NPI number | 1467474932 |
|---|---|
| LBN Legal business name | Dietrich, Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 16th, 2007 - about 18 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 | 1467474932 | NPPES |
| Vermont | MEDICAID | 1000405 | |
| Vermont | MEDICAID | 80009652 |
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