Dietrich, John E

Dietrich, John E is an individual health care provider with primary practice located at 1 Saint Vincent Cir Suite 160, Little Rock AR 72205-5405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Dietrich, John E can be contacted via phone (501) 661-0037.

Contact Information

Primary practice address
1 Saint Vincent Cir Suite 160 Little Rock AR 72205-5405
Phone: (501) 661-0037
Fax: (501) 661-0038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X E0736 Arkansas

Profile Details

NPI number 1417927807
LBN Legal business name Dietrich, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated May 20th, 2015 - about 9 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 1417927807 NPPES
Arkansas MEDICAID 129921001

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