Fitch, Diane K.

Fitch, Diane K. is an individual health care provider with primary practice located at 1021 Nebraska St , Sioux City IA 51105-1436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fitch, Diane K. can be contacted via phone (712) 252-2477.

Contact Information

Primary practice address
1021 Nebraska St Sioux City IA 51105-1436
Phone: (712) 252-2477
Fax: (712) 252-5920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000656 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 511 Nebraska

Profile Details

NPI number 1407811995
LBN Legal business name Fitch, Diane K.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407811995 NPPES
Iowa Other IB1201002 MEDICARE PTAN
Iowa Other 53002 MEDICARE PTAN
Iowa MEDICAID 6828970 MEDICARE PTAN
Iowa Other P00353384 MEDICARE PTAN

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