Dietrich, Amy Rebman

Dietrich, Amy Rebman is an individual health care provider with primary practice located at 2713 Dantzler Dr , North Charleston SC 29406-9005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dietrich, Amy Rebman can be contacted via phone (843) 764-1722.

Contact Information

Primary practice address
2713 Dantzler Dr North Charleston SC 29406-9005
Phone: (843) 764-1722
Fax: (843) 764-1788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24435 South Carolina

Profile Details

NPI number 1447250378
LBN Legal business name Dietrich, Amy Rebman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 26th, 2013 - about 12 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 1447250378 NPPES
South Carolina Other 24435 BOARD OF MEDICAL EXAMINER
South Carolina Other 20-24435 BOARD OF MEDICAL EXAMINER

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