Diltz, Jera

Diltz, Jera is an individual health care provider with primary practice located at 111 N Hudson St , Altus OK 73521-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Diltz, Jera can be contacted via phone (580) 379-4085.

Contact Information

Primary practice address
111 N Hudson St Altus OK 73521-3811
Phone: (580) 379-4085
Fax: (580) 379-4062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326494055
LBN Legal business name Diltz, Jera
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2016
Last updated May 12th, 2016 - about 8 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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