Dittrich, Michael Richard

Dittrich, Michael Richard is an individual health care provider with primary practice located at 6555 Coyle Ave , Carmichael CA 95608-0302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Dittrich, Michael Richard can be contacted via phone (916) 536-3540.

Contact Information

Primary practice address
6555 Coyle Ave Carmichael CA 95608-0302
Phone: (916) 536-3540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP6056 California

Profile Details

NPI number 1194899682
LBN Legal business name Dittrich, Michael Richard
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194899682 NPPES
California MEDICAID RN397509
California Other 5843015
California Other 90207877
California Other 000810374542
California Other 1750289
California Other 2688843
California Other 461131
California Other N397509

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