Dietz, Paul D
Dietz, Paul D is an individual health care provider with primary practice located at 830 Pennsylvania Ave Suite 104, Charleston WV 25302-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dietz, Paul D can be contacted via phone (304) 388-1552.Contact Information
Primary practice address
830 Pennsylvania Ave Suite 104
Charleston WV 25302-3302
Phone: (304) 388-1552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20953 | West Virginia |
Profile Details
| NPI number | 1922087592 |
|---|---|
| LBN Legal business name | Dietz, Paul D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Mar 17th, 2014 - about 11 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 | 1922087592 | NPPES |
| West Virginia | MEDICAID | 3810001038 |
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