Active NPIIndividual provider

Hans P Diercksen, MD

Family Medicine in Bomoseen, Vermont

NPI Number1518984541
Practice location
275 Route 30 N, Bomoseen, VT 05732-9647
Fax
802-468-2923
Last updated
November 29, 2016

Hans Peter Diercksen is a Family Medicine based in Bomoseen, VT. Hans Peter Diercksen practices in Bomoseen, VT and has the professional credentials of MD. The NPI Number for Hans Peter Diercksen is 1518984541 and holds a License No. 0420006786 (VT). The current practice location address for Hans Peter Diercksen is 275 Route 30 N, Bomoseen, VT 05732-9647 and can be reached out via phone at 802-468-5641 and via fax at 802-468-2923.

Provider Profile Details

NPI Number
1518984541
Provider Name
Hans Peter Diercksen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
275 Route 30 N, Bomoseen, VT 05732-9647
Phone Number
802-468-5641
Fax Number
802-468-2923
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2006
Last Update Date
November 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Route 30 N
Bomoseen, VT 05732-9647
State
Vermont
Zip
05732-9647
Phone Number
802-468-5641
Fax Number
802-468-2923
Bomoseen, VT 05732Get directions →

Provider Business Mailing Address Details

Address
71 Allen St
Ste 101
Rutland, VT 05701-4570
City
Rutland
State
VT
Zip
05701-4570
Phone Number
802-772-4414
Fax Number
802-772-7973

License Information

License Number
0420006786
License State
VT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Hans P Diercksen, MD?

The NPI number of Hans P Diercksen, MD is 1518984541. It was assigned on July 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Hans P Diercksen, MD?

Hans P Diercksen, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 0420006786.

Where does Hans P Diercksen, MD practice?

The practice location is 275 Route 30 N, Bomoseen, VT 05732-9647. The office can be reached at 802-468-5641 (phone) or 802-468-2923 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518984541 directly on the NPPES registry website.

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