Dietzgen, Mark
Dietzgen, Mark is an sole proprietor health care provider with primary practice located at 16515 S 40Th St Suite 103, Phoenix AZ 85048-0558. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Dietzgen, Mark can be contacted via phone (480) 961-0760.Contact Information
Primary practice address
16515 S 40Th St Suite 103
Phoenix AZ 85048-0558
Phone: (480) 961-0760
Fax: (480) 961-0761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 01653 | Arizona |
Profile Details
| NPI number | 1316348790 |
|---|---|
| LBN Legal business name | Dietzgen, Mark |
| Credentials | NMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2014 |
| Last updated | Sep 4th, 2014 - about 10 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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