MR. EBERHARDT ALAN DIETZEL
NPI 1689435026
Student in an Organized Health Care Education/Training Program in Sturgeon Bay, WI

Active since January 22, 2024
1006 QUINCY ST, STURGEON BAY, WI 54235(920) 559-8808 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Eberhardt Alan Dietzel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EBERHARDT ALAN DIETZEL (NPI 1689435026) is an individual student in an organized health care education/training program in Sturgeon Bay, Wisconsin and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1689435026
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. EBERHARDT ALAN DIETZEL
Location Address1006 QUINCY STSturgeon Bay, WI 54235-1829
Mailing Address1006 Quincy StSturgeon Bay, WI 54235-1829 · (920) 559-8808
Sole ProprietorYes
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1689435026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1006 QUINCY ST, Sturgeon Bay, WI 54235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eberhardt Dietzel's NPI number?

The NPI number for Eberhardt Dietzel is 1689435026. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Eberhardt Dietzel located?

Eberhardt Dietzel practices at 1006 Quincy St, Sturgeon Bay, WI 54235. The listed phone number is (920) 559-8808.

What is Eberhardt Dietzel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eberhardt Dietzel was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.