Dietrichson, Jeff
Dietrichson, Jeff is an individual health care provider with primary practice located at 5670 Greenwood Plaza Blvd Ste Ll110 , Greenwood Village CO 80111-2448. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dietrichson, Jeff can be contacted via phone (303) 694-9193.Contact Information
Primary practice address
5670 Greenwood Plaza Blvd Ste Ll110
Greenwood Village CO 80111-2448
Phone: (303) 694-9193
Fax: (303) 779-0566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2480 | Hawaii |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTL0016101 | Colorado |
Profile Details
| NPI number | 1508919184 |
|---|---|
| LBN Legal business name | Dietrichson, Jeff |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 28th, 2022 - about 2 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 | 1508919184 | NPPES |
| Hawaii | MEDICAID | 583444 |
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