Ditesheim, Jeffrey Alan

Ditesheim, Jeffrey Alan is an individual health care provider with primary practice located at 9336 Blakeney Center Drive Suite 130, Charlotte NC 28277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Ditesheim, Jeffrey Alan can be contacted via phone (704) 542-8686.

Contact Information

Primary practice address
9336 Blakeney Center Drive Suite 130 Charlotte NC 28277
Phone: (704) 542-8686
Fax: (704) 542-8696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 9501222 North Carolina

Profile Details

NPI number 1780660019
LBN Legal business name Ditesheim, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 1st, 2008 - about 16 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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