Provider Demographics
NPI:1730270794
Name:DIEKEL, PAUL E (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:DIEKEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:49 CASTLETON MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:CASTLETON
Mailing Address - State:VT
Mailing Address - Zip Code:05735-9011
Mailing Address - Country:US
Mailing Address - Phone:802-468-2240
Mailing Address - Fax:802-468-3217
Practice Address - Street 1:49 CASTLETON MDWS
Practice Address - Street 2:CASTLETON CORNERS PROFESSIONAL CENTER
Practice Address - City:CASTLETON
Practice Address - State:VT
Practice Address - Zip Code:05735-9011
Practice Address - Country:US
Practice Address - Phone:802-468-2240
Practice Address - Fax:802-468-3217
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0060000852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0650944OtherCIGNA
VT00005601OtherBCBS VERMONT
VT9627Medicare PIN
350016613Medicare PIN
VT0650944OtherCIGNA