Aideuis, Dianna Lynn

Aideuis, Dianna Lynn is an sole proprietor health care provider with primary practice located at 500 Dexter St Ste C , Greenville NC 27834-6318. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Aideuis, Dianna Lynn can be contacted via phone (252) 355-3900.

Contact Information

Primary practice address
500 Dexter St Ste C Greenville NC 27834-6318
Fax: (252) 355-3995
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004724 North Carolina

Profile Details

NPI number 1093893968
LBN Legal business name Aideuis, Dianna Lynn
Credentials LCSW, MSW, RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 17 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 1093893968 NPPES
North Carolina Other 138FC BCBS PROVIDER NUMBER
North Carolina MEDICAID 6002853 BCBS PROVIDER NUMBER

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