Dietsch, Fernando
Dietsch, Fernando is an individual health care provider with primary practice located at 723 Memorial St , Prosser WA 99350-1524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dietsch, Fernando can be contacted via phone (509) 786-2222.Contact Information
Primary practice address
723 Memorial St
Prosser WA 99350-1524
Phone: (509) 786-2222
Fax: (509) 786-6612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00041643 | Washington |
Profile Details
| NPI number | 1962455535 |
|---|---|
| LBN Legal business name | Dietsch, Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1962455535 | NPPES |
| Washington | Other | 162391 | LABOR & INDUSTRIES # |
| Washington | MEDICAID | 8325656 | LABOR & INDUSTRIES # |
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