Dr. Henry T. Dietrich III
Family Doctor Family Doctor - Addiction Medicine
425 Market St
Williamsport
, Pennsylvania 17701-6345
Dr. Henry T. Dietrich III
Family Doctor Family Doctor - Addiction Medicine
425 Market St
Williamsport
, Pennsylvania 17701-6345
(570) 271-6144
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Henry T. Dietrich III
- 100 N Academy Ave Credentials Dept
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Dr. Henry T. Dietrich III
- 425 Market St
- Williamsport, PA
- Zip : 17701-6345
- Fax : (570) 368-4476
- Phone : (570) 368-4477
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FAQs
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Is Dr. Henry T. Dietrich III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD045437E | PA |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | MD045437E | PA |
National Provider Identifier
| NPI | 1922074046 |
|---|---|
| Provider Name | Dr. Henry T. Dietrich III |
| First Address | Danville, PA 17822-4903 |
| Second Address | Williamsport, PA 17701-6345 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 24/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001192281 | (05) | PA |
| E39286 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.