Dietrich, Christopher David

Dietrich, Christopher David is an individual health care provider with primary practice located at 17025 Snowmobile Ln , Eagle River AK 99577-7044. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dietrich, Christopher David can be contacted via phone (907) 696-7466.

Contact Information

Primary practice address
17025 Snowmobile Ln Eagle River AK 99577-7044
Phone: (907) 696-7466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2393 Alaska

Profile Details

NPI number 1962890939
LBN Legal business name Dietrich, Christopher David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2014
Last updated Mar 2nd, 2015 - about 10 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 1962890939 NPPES
Alaska MEDICAID 1626073

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