Bristow, Diane
Bristow, Diane is an individual health care provider with primary practice located at 1812 Marsh Rd Suite 505, Wilmington DE 19810-4581. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bristow, Diane can be contacted via phone (302) 475-7500.Contact Information
Primary practice address
1812 Marsh Rd Suite 505
Wilmington DE 19810-4581
Phone: (302) 475-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | U1-0001030 | Delaware |
Profile Details
| NPI number | 1811161607 |
|---|---|
| LBN Legal business name | Bristow, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Mar 22nd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811161607 | NPPES |
| Delaware | Other | P01084211 | MEDICARE RAILROAD |
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