Dietzek, Charles L
Dietzek, Charles L is an individual health care provider with primary practice located at 1101 White Horse Rd Suite C, Voorhees NJ 08043-2157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dietzek, Charles L can be contacted via phone (856) 309-9777.Contact Information
Primary practice address
1101 White Horse Rd Suite C
Voorhees NJ 08043-2157
Phone: (856) 309-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MB46719 | New Jersey |
Profile Details
| NPI number | 1639283344 |
|---|---|
| LBN Legal business name | Dietzek, Charles L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | May 29th, 2018 - about 6 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 | 1639283344 | NPPES |
| New Jersey | MEDICAID | 0375209 |
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