Dietz, Thompson Mack
Dietz, Thompson Mack is an sole proprietor health care provider with primary practice located at 1495 Gause Blvd , Slidell LA 70458-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dietz, Thompson Mack can be contacted via phone (985) 405-5200.Contact Information
Primary practice address
1495 Gause Blvd
Slidell LA 70458-2205
Phone: (985) 405-5200
Fax: (985) 405-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 013772 | Louisiana |
Profile Details
| NPI number | 1083619241 |
|---|---|
| LBN Legal business name | Dietz, Thompson Mack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 20th, 2008 - about 16 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 | 1083619241 | NPPES |
| Louisiana | MEDICAID | 1323764 |
Popular Providers
-
Bishop, Laurie Ann
100 Medical Center Drive , Slidell LA 70461-5520 -
Digby, Myles Christopher
1001 Gause Blvd , Slidell LA 70458-2939 -
Satterlee, Arthur Jerry
1310 Gause Blvd , Slidell LA 70458-3016 -
Donaldson, David Joseph
100 Medical Center Drive , Slidell LA 70461-5520 -
Maccurdy, Dale Moreland
1001 Gause Blvd , Slidell LA 70458-2939 -
Redmond, Jeff S
1001 Gause Blvd , Slidell LA 70458-2939 -
Mcburney, Donald
2750 Gause Blvd E , Slidell LA 70461-4149 -
Legnon, Richelle Currier
1001 Gause Blvd , Slidell LA 70458-2939