Brown, Diane Kathleen

Brown, Diane Kathleen is an individual health care provider with primary practice located at 3033 Adams Ave Unit 6, San Diego CA 92116-1504. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brown, Diane Kathleen can be contacted via phone (619) 823-4616.

Contact Information

Primary practice address
3033 Adams Ave Unit 6 San Diego CA 92116-1504
Phone: (619) 823-4616
Fax: (619) 584-4257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDHAP96 California

Profile Details

NPI number 1295765147
LBN Legal business name Brown, Diane Kathleen
Credentials RDHAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 8th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295765147 NPPES
California MEDICAID H00096-01
California Other H0009601
California MEDICAID 1295765147

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