Dietrich, Monica L

Dietrich, Monica L is an individual health care provider with primary practice located at 6640 Johnson Dr , Mission KS 66202-2617. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dietrich, Monica L can be contacted via phone (913) 384-5600.

Contact Information

Primary practice address
6640 Johnson Dr Mission KS 66202-2617
Phone: (913) 384-5600
Fax: (913) 384-0719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-02977 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2001010961 Missouri

Profile Details

NPI number 1356398382
LBN Legal business name Dietrich, Monica L
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 21st, 2014 - about 10 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 1356398382 NPPES
Other 28353043 BCBS KC
Other KA2868017 BCBS KC
Other MA4370011 BCBS KC

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