Dietrich, Megan

Dietrich, Megan is an individual health care provider with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Dietrich, Megan can be contacted via phone (248) 758-7150.

Contact Information

Primary practice address
44405 Woodward Ave Pontiac MI 48341-5023
Phone: (248) 758-7150
Fax: (248) 858-3918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005452 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601005452 Michigan

Profile Details

NPI number 1548405533
LBN Legal business name Dietrich, Megan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2008
Last updated Nov 16th, 2021 - about 3 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 1548405533 NPPES
Michigan MEDICAID 1548405533

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