Baumbach, Diane J.

Baumbach, Diane J. is an individual health care provider with primary practice located at 320 Kirkwood Ave , Iowa City IA 52240-4754. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baumbach, Diane J. can be contacted via phone (319) 351-6654.

Contact Information

Primary practice address
320 Kirkwood Ave Iowa City IA 52240-4754
Phone: (319) 351-6654
Fax: (319) 339-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00040 Iowa

Profile Details

NPI number 1548269475
LBN Legal business name Baumbach, Diane J.
Credentials L.I.S.W
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548269475 NPPES
Iowa Other 01865 BLUE CROSS/BLUE SHIELD OF
Iowa MEDICAID 421501340Y1R3P8 BLUE CROSS/BLUE SHIELD OF

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