Burmeister, Diana

Burmeister, Diana is an individual health care provider with primary practice located at 29275 Northwestern Hwy Ste 100, Southfield MI 48034-1044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neuroscience, which is considered as her primary health care specialty. Burmeister, Diana can be contacted via phone (877) 784-3667.

Contact Information

Primary practice address
29275 Northwestern Hwy Ste 100 Southfield MI 48034-1044
Phone: (877) 784-3667
Fax: (248) 784-3743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neuroscience 364SN0800X 5601002920 Michigan

Profile Details

NPI number 1376576546
LBN Legal business name Burmeister, Diana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Dec 20th, 2012 - about 13 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 1376576546 NPPES
Michigan Other 5601002920 LICENSE

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