Lietz, Ehren
Lietz, Ehren is an individual health care provider with primary practice located at 35000 Guadalcanal Ave , San Diego CA 92140-5599. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Lietz, Ehren can be contacted via phone (619) 524-8397.Contact Information
Primary practice address
35000 Guadalcanal Ave
San Diego CA 92140-5599
Phone: (619) 524-8397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1073773800 |
|---|---|
| LBN Legal business name | Lietz, Ehren |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2008 |
| Last updated | Jun 16th, 2008 - about 16 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 | 1073773800 | NPPES |
| Other | IDC | IDC |
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