Bidwell, Diane Sue
Bidwell, Diane Sue is an sole proprietor health care provider with primary practice located at 22Nd Medical Group 57950 Leavenworth, Mcconnell Afb KS 67221-3506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bidwell, Diane Sue can be contacted via phone (316) 759-2069.Contact Information
Primary practice address
22Nd Medical Group 57950 Leavenworth
Mcconnell Afb KS 67221-3506
Phone: (316) 759-2069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3594 | Kansas |
Profile Details
| NPI number | 1730109471 |
|---|---|
| LBN Legal business name | Bidwell, Diane Sue |
| Credentials | LSCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 4th, 2023 - about 2 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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