Berger, Dianne J

Berger, Dianne J is an individual health care provider with primary practice located at 1455 Dixon Ave , Lafayette CO 80026-8879. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Berger, Dianne J can be contacted via phone (303) 443-8500.

Contact Information

Primary practice address
1455 Dixon Ave Lafayette CO 80026-8879
Fax: (303) 413-6325
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 104808 Colorado

Profile Details

NPI number 1942308218
LBN Legal business name Berger, Dianne J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942308218 NPPES
Other BEN04257724 NCC CERTIFICATION
MEDICAID 10908366 NCC CERTIFICATION

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