Dietz, Ken

Dietz, Ken is an sole proprietor health care provider with primary practice located at 20 E Fairview Ave , Meridian ID 83642-1732. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Dietz, Ken can be contacted via phone (208) 888-4414.

Contact Information

Primary practice address
20 E Fairview Ave Meridian ID 83642-1732
Phone: (208) 888-4414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X

Profile Details

NPI number 1033777990
LBN Legal business name Dietz, Ken
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 2019 - about 5 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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