Dittrich, Lee B
Dittrich, Lee B is an individual health care provider with primary practice located at 123 Fox Rd , Knoxville TN 37922-3369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Dittrich, Lee B can be contacted via phone (865) 690-9467.Contact Information
Primary practice address
123 Fox Rd
Knoxville TN 37922-3369
Phone: (865) 690-9467
Fax: (865) 637-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 36383 | Tennessee |
Profile Details
| NPI number | 1316905862 |
|---|---|
| LBN Legal business name | Dittrich, Lee B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Aug 7th, 2020 - about 4 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 | 1316905862 | NPPES |
| Tennessee | Other | 7120405 | AETNA |
| Tennessee | Other | 3874778 | AETNA |
| Tennessee | MEDICAID | Q007919 | AETNA |
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