NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

JILL M DIESMAN, AU.D. – NPI #1467782813
Audiologist


Contact Information

JILL M DIESMAN, AU.D.
13303 TESSON FERRY RD
SUITE 20
SAINT LOUIS, MO63128-4062
 Phone: 816-883-2680
 Fax: 314-962-1991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X
Indicates primary specialty
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NPI Profile & details for JILL M DIESMAN · (Female)

NPI Number 1467782813
Credentials AU.D.
Entity Individual
Enumeration date 01/07/2010
Last updated 08/20/2013 - More than a year ago
Sole proprietor 1 No
Identifiers
MO License # 2002021826
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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