Dittrich, Jere Wayne
Dittrich, Jere Wayne is an sole proprietor health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Dittrich, Jere Wayne can be contacted via phone (774) 452-2006.Contact Information
Primary practice address
100 South St
Southbridge MA 01550-4051
Phone: (774) 452-2006
Fax: (508) 909-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN199369 | Massachusetts |
Profile Details
| NPI number | 1700287562 |
|---|---|
| LBN Legal business name | Dittrich, Jere Wayne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2014 |
| Last updated | Sep 11th, 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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