Dittmer, Thomas Edward
Dittmer, Thomas Edward is an individual health care provider with primary practice located at 1600 Morgan St , Keokuk IA 52632-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Microbiology, which is considered as his primary health care specialty. Dittmer, Thomas Edward can be contacted via phone (319) 526-8750.Contact Information
Primary practice address
1600 Morgan St
Keokuk IA 52632-3456
Phone: (319) 526-8750
Fax: (319) 524-5317
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Microbiology | 207ZM0300X | 35921 | Iowa |
Profile Details
NPI number | 1477576692 |
---|---|
LBN Legal business name | Dittmer, Thomas Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477576692 | NPPES |
Iowa | Other | 38633 | BLUE CROSS |
Iowa | MEDICAID | 0457275 | BLUE CROSS |
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