Susan K Retzlaff Deitri in Grand Island - Physician Assistant

Susan K Retzlaff Deitri - NPI 1912907981

Susan K Retzlaff Deitri is a Physician Assistant in Grand Island, Nebraska. Susan K Retzlaff Deitri practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan K Retzlaff Deitri is 1912907981. The last update date is 2020-02-14.

Susan K Retzlaff Deitri's current location address is Po Box 5436, Grand Island, Nebraska. You can contact this provider via phone number 3083849300 and fax number 4843598909. The mailing address for Susan K Retzlaff Deitri is Po Box 5436, Grand Island, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan K Retzlaff Deitri
Address Po Box 5436, Grand Island, Nebraska
Phone Number 3083849300
Fax Number 4843598909
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1912907981
Provider Enumeration Date 2005-07-29
Last Updated Date 2020-02-14

Provider Mailing Address Detail

Address Po Box 5436
City Grand Island
State Nebraska (NE)
Post Code 688025436
Phone Number 3083849300
Fax Number 4843598909

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 829
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37315 NE BCBS OF NE
100250168 NE --

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FAQs about Susan K Retzlaff Deitri

What is the unique provider identifier assigned to Susan K Retzlaff Deitri?

The Susan K Retzlaff Deitri has been issued the NPI (National Provider Identifier) 1912907981 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Susan K Retzlaff Deitri located?

The Susan K Retzlaff Deitri is located at Po Box 5436, Grand Island, NE 688025436.

What is the Susan K Retzlaff Deitri's specialty and taxonomy code?

The Susan K Retzlaff Deitri's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When did Susan K Retzlaff Deitri receive its 1912907981 assignment?

The Susan K Retzlaff Deitri was assigned its 1912907981 on 2005-07-29, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Susan K Retzlaff Deitri most recently updated or revised?

The information pertaining to Susan K Retzlaff Deitri, including its address, specialty, and other relevant details, was last updated or revised on 2020-02-14.

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