Dietrich, Denna Louise

Dietrich, Denna Louise is an individual health care provider with primary practice located at 3000 Mack Rd Ste 100, Fairfield OH 45014-5335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dietrich, Denna Louise can be contacted via phone (513) 751-4222.

Contact Information

Primary practice address
3000 Mack Rd Ste 100 Fairfield OH 45014-5335
Phone: (513) 751-4222
Fax: (513) 824-3023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN242532 Ohio

Profile Details

NPI number 1174522650
LBN Legal business name Dietrich, Denna Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 22nd, 2018 - about 6 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 1174522650 NPPES
Ohio MEDICAID 2593073

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