Provider Demographics
NPI:1942588256
Name:DIERBERGER, JEFFREY E (RDMS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:E
Last Name:DIERBERGER
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3051
Mailing Address - Country:US
Mailing Address - Phone:402-217-1892
Mailing Address - Fax:
Practice Address - Street 1:522 N 12 ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3051
Practice Address - Country:US
Practice Address - Phone:402-217-1892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography