Entzian, Dirk

Entzian, Dirk is an individual health care provider with primary practice located at 100 South Ashley Drive Suite 1500, Tampa FL 33602-5318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Entzian, Dirk can be contacted via phone (813) 899-6220.

Contact Information

Primary practice address
100 South Ashley Drive Suite 1500 Tampa FL 33602-5318
Phone: (813) 899-6220
Fax: (813) 985-8006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 050160 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 050160 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-11566 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 8048800-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME126598 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME126598 Florida

Profile Details

NPI number 1457309692
LBN Legal business name Entzian, Dirk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 29th, 2016 - about 8 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 1457309692 NPPES
Utah Other U000075283 MEDICARE
Utah Other 20000820 MEDICARE

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