Dietterich, Rebecca

Dietterich, Rebecca is an sole proprietor health care provider with primary practice located at 1172 W Main St # B , Stroudsburg PA 18360-1323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dietterich, Rebecca can be contacted via phone (570) 424-6187.

Contact Information

Primary practice address
1172 W Main St # B Stroudsburg PA 18360-1323
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP027912 Pennsylvania

Profile Details

NPI number 1689457517
LBN Legal business name Dietterich, Rebecca
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2023
Last updated Apr 24th, 2024 - 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.

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