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Contact Information

JAMES R DIETRICK, D.C.
14321 NORTHLAND DR
STE 1
BIG RAPIDS, MI49307-2310
 Phone: 231-629-8833
 Fax: 231-629-8834
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JAMES R DIETRICK · (Male)

NPI # 1346601879
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/10/2016
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 2301010554
  • OR License # 5702
Hospital affiliation(s) Not Available
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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