Alonzo, Diana Nicole

Alonzo, Diana Nicole is an individual health care provider with primary practice located at 1789 Us Highway 77 , Lott TX 76656-3654. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Alonzo, Diana Nicole can be contacted via phone (219) 604-1068.

Contact Information

Primary practice address
1789 Us Highway 77 Lott TX 76656-3654
Phone: (219) 604-1068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT7903 Texas

Profile Details

NPI number 1295252948
LBN Legal business name Alonzo, Diana Nicole
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Jul 22nd, 2019 - about 6 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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