Dietrich, Ann Marie

Dietrich, Ann Marie is an individual health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Dietrich, Ann Marie can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Fl 1 Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 86478 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35055079 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 86478 South Carolina

Profile Details

NPI number 1972505915
LBN Legal business name Dietrich, Ann Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 2nd, 2022 - about 2 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 1972505915 NPPES
Ohio MEDICAID 2028273
Ohio MEDICAID 0105570000
Ohio MEDICAID 6486614800
Ohio MEDICAID PENDING

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