Dietzek, Alan

Dietzek, Alan is an individual health care provider with primary practice located at 67 Sand Pit Rd , Danbury CT 06810-4032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dietzek, Alan can be contacted via phone (203) 798-6986.

Contact Information

Primary practice address
67 Sand Pit Rd Danbury CT 06810-4032
Phone: (203) 798-6986
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 038845 Connecticut

Profile Details

NPI number 1134160435
LBN Legal business name Dietzek, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1134160435 NPPES
Connecticut MEDICAID 1388455
Connecticut Other 8897122
Connecticut Other 2372975
Connecticut Other P00230453
Connecticut Other 0V7532
Connecticut Other 830396
Connecticut Other AS1058
Connecticut Other 810160110
Connecticut Other 038845

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