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 |
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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 |
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Provider Enumeration Date | 2005-07-29 |
Last Updated Date | 2020-02-14 |
Provider Mailing Address Detail
Address | Po Box 5436 |
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City | Grand Island |
State | Nebraska (NE) |
Post Code | 688025436 |
Phone Number | 3083849300 |
Fax Number | 4843598909 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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 | -- |
Post Comment/ Review Below
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.