Dietrich, Jacqueline Andria
Dietrich, Jacqueline Andria is an sole proprietor health care provider with primary practice located at 809 Main St , East Hartford CT 06108-3117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dietrich, Jacqueline Andria can be contacted via phone (860) 528-1359.Contact Information
Primary practice address
809 Main St
East Hartford CT 06108-3117
Phone: (860) 528-1359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8199 | Connecticut |
Profile Details
| NPI number | 1285283747 |
|---|---|
| LBN Legal business name | Dietrich, Jacqueline Andria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2019 |
| Last updated | Sep 8th, 2019 - 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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