Brean, Diana

Brean, Diana is an individual health care provider with primary practice located at 1027 Country Club Rd , Monongahela PA 15063-1553. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Brean, Diana can be contacted via phone (724) 258-6211.

Contact Information

Primary practice address
1027 Country Club Rd Monongahela PA 15063-1553
Phone: (724) 258-6211
Fax: (724) 258-6225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SL002963L Pennsylvania

Profile Details

NPI number 1972531473
LBN Legal business name Brean, Diana
Credentials SL
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 9th, 2007 - about 18 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 1972531473 NPPES
Pennsylvania MEDICAID 0016749970001

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