Dietze, Jared
Dietze, Jared is an sole proprietor health care provider with primary practice located at 618 N Denver Ave , Hastings NE 68901-5122. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dietze, Jared can be contacted via phone (402) 834-2450.Contact Information
Primary practice address
618 N Denver Ave
Hastings NE 68901-5122
Phone: (402) 834-2450
Fax: (402) 834-2449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34720 | Nebraska |
Profile Details
| NPI number | 1790217651 |
|---|---|
| LBN Legal business name | Dietze, Jared |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2017 |
| Last updated | Jul 18th, 2022 - about 3 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 | 1790217651 | NPPES |
| Nebraska | Other | 34720 | MEDICAL LICENSE |
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