Burke, Diane R
Burke, Diane R is an sole proprietor health care provider with primary practice located at 1412 N Porter Ave , Norman OK 73071-6662. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burke, Diane R can be contacted via phone (405) 321-8882.Contact Information
Primary practice address
1412 N Porter Ave
Norman OK 73071-6662
Phone: (405) 321-8882
Fax: (405) 364-0152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 248 | Oklahoma |
Profile Details
NPI number | 1194826321 |
---|---|
LBN Legal business name | Burke, Diane R |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 26th, 2006 |
Last updated | Mar 31st, 2010 - about 15 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 | 1194826321 | NPPES |
Oklahoma | MEDICAID | 100655220A |
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