Dietrich, Jennifer E.

Dietrich, Jennifer E. is an individual health care provider with primary practice located at 6620 Main St Suite 1450, Houston TX 77030-2348. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Dietrich, Jennifer E. can be contacted via phone (713) 798-7500.

Contact Information

Primary practice address
6620 Main St Suite 1450 Houston TX 77030-2348
Phone: (713) 798-7500
Fax: (713) 798-6956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X L6358 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X L6358 Texas

Profile Details

NPI number 1053401216
LBN Legal business name Dietrich, Jennifer E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 1st, 2011 - about 13 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 1053401216 NPPES
Texas MEDICAID 187205302

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