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
Phone: (248) 855-1695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720006968 | NPPES |
| Michigan | Other | 0866234 | BCBSM PROVIDER |
| Michigan | Other | 126224 | BCBSM PROVIDER |
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