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Contact Information

ERICA M DIESFELD
745 KENTUCKY BLVD
COLUMBIA, MO65201
 Phone: 636-875-0353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ERICA M DIESFELD · (Female)

NPI Number 1255071486
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2022
Last updated 03/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
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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