Dietzen, Dennis

Dietzen, Dennis is an sole proprietor health care provider with primary practice located at 203 Sierra Pt , Glen Carbon IL 62034-1346. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as his primary health care specialty. Dietzen, Dennis can be contacted via phone (618) 971-8827.

Contact Information

Primary practice address
203 Sierra Pt Glen Carbon IL 62034-1346
Phone: (618) 971-8827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X

Profile Details

NPI number 1598475592
LBN Legal business name Dietzen, Dennis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2022
Last updated Nov 30th, 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.

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