Dietzel, Jane Ellen
Dietzel, Jane Ellen is an sole proprietor health care provider with primary practice located at 12766 N Overlook Dr , Rancho Cucamonga CA 91739-2321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Dietzel, Jane Ellen can be contacted via phone (909) 702-8704.Contact Information
Primary practice address
12766 N Overlook Dr
Rancho Cucamonga CA 91739-2321
Phone: (909) 702-8704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 301446 | California |
Profile Details
| NPI number | 1093303240 |
|---|---|
| LBN Legal business name | Dietzel, Jane Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2021 |
| Last updated | Jan 4th, 2021 - 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.
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