Dietrich, Sharon
Dietrich, Sharon is an individual health care provider with primary practice located at 518 W 1St Ave , Toppenish WA 98948-1564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dietrich, Sharon can be contacted via phone (509) 865-5600.Contact Information
Primary practice address
518 W 1St Ave
Toppenish WA 98948-1564
Phone: (509) 865-5600
Fax: (509) 865-5783
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00023656 | Washington |
Profile Details
NPI number | 1407942691 |
---|---|
LBN Legal business name | Dietrich, Sharon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407942691 | NPPES |
Other | 22547 | GROUP HEALTH | |
Other | 1011865 | GROUP HEALTH | |
MEDICAID | 1011865 | GROUP HEALTH | |
Other | 5408SH | GROUP HEALTH | |
Other | 30821 | GROUP HEALTH |
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