Dietz, Blanche G

Dietz, Blanche G is an sole proprietor health care provider with primary practice located at 190 Hemenway Rd , Framingham MA 01701-2636. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dietz, Blanche G can be contacted via phone (508) 380-2499.

Contact Information

Primary practice address
190 Hemenway Rd Framingham MA 01701-2636
Fax: (508) 788-0344
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1018823 Massachusetts

Profile Details

NPI number 1356311344
LBN Legal business name Dietz, Blanche G
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356311344 NPPES
Massachusetts Other P05262 BLUE CROSS BLUE SHIELD
Massachusetts Other 052568000 BLUE CROSS BLUE SHIELD

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