Burgermeister, Diane Marie

Burgermeister, Diane Marie is an sole proprietor health care provider with primary practice located at 31487 Northwestern Hwy Suite A, Farmington Hills MI 48334-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Burgermeister, Diane Marie can be contacted via phone (248) 855-1695.

Contact Information

Primary practice address
31487 Northwestern Hwy Suite A Farmington Hills MI 48334-2526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704095475 Michigan

Profile Details

NPI number 1720006968
LBN Legal business name Burgermeister, Diane Marie
Credentials RN, CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1720006968 NPPES
Michigan Other 0866234 BCBSM PROVIDER
Michigan Other 126224 BCBSM PROVIDER

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