Backstrom, Mary Diane

Backstrom, Mary Diane is an individual health care provider with primary practice located at 1200 E Columbia Ave , Colville WA 99114-3354. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Backstrom, Mary Diane can be contacted via phone (509) 684-3701.

Contact Information

Primary practice address
1200 E Columbia Ave Colville WA 99114-3354
Phone: (509) 684-3701
Fax: (509) 684-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN00130472 Washington

Profile Details

NPI number 1568444628
LBN Legal business name Backstrom, Mary Diane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 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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