Ack, Diane

Ack, Diane is an individual health care provider with primary practice located at 2700 Northup Way , Bellevue WA 98004-1463. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ack, Diane can be contacted via phone (425) 827-4600.

Contact Information

Primary practice address
2700 Northup Way Bellevue WA 98004-1463
Fax: (425) 828-2256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00028523 Washington

Profile Details

NPI number 1871664623
LBN Legal business name Ack, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871664623 NPPES
Washington MEDICAID 8132151

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