Dietrick, Keith J

Dietrick, Keith J is an individual health care provider with primary practice located at 2585 South State Road 7 Ste 110, Wellington FL 33414-9323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Dietrick, Keith J can be contacted via phone (561) 795-8655.

Contact Information

Primary practice address
2585 South State Road 7 Ste 110 Wellington FL 33414-9323
Phone: (561) 795-8655
Fax: (561) 795-3275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME85786 Florida

Profile Details

NPI number 1144223785
LBN Legal business name Dietrick, Keith J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Aug 17th, 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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