Dietrich, Henry T.

Dietrich, Henry T. is an individual health care provider with primary practice located at 425 Market St , Williamsport PA 17701-6345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Dietrich, Henry T. can be contacted via phone (570) 368-4477.

Contact Information

Primary practice address
425 Market St Williamsport PA 17701-6345
Phone: (570) 368-4477
Fax: (570) 368-4476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD045437E Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD045437E Pennsylvania

Profile Details

NPI number 1922074046
LBN Legal business name Dietrich, Henry T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 24th, 2020 - about 4 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 1922074046 NPPES
Pennsylvania MEDICAID 001192281

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