Dietze, Donald David

Dietze, Donald David is an individual health care provider with primary practice located at 29301 N Dixie Ranch Rd , Lacombe LA 70445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dietze, Donald David can be contacted via phone (985) 871-4114.

Contact Information

Primary practice address
29301 N Dixie Ranch Rd Lacombe LA 70445
Phone: (985) 871-4114
Fax: (985) 871-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 019033 Louisiana

Profile Details

NPI number 1316913635
LBN Legal business name Dietze, Donald David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 1st, 2015 - about 10 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 1316913635 NPPES
Louisiana Other 5E706 MEDICARE PROVIDER NUMBER

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