Burr, Diane Lynne
Burr, Diane Lynne is an individual health care provider with primary practice located at 801 Cypress St , Rome NY 13440-2129. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Burr, Diane Lynne can be contacted via phone (315) 339-6536.Contact Information
Primary practice address
801 Cypress St
Rome NY 13440-2129
Phone: (315) 339-6536
Fax: (315) 339-1746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | 014461 | New York |
Profile Details
NPI number | 1285836122 |
---|---|
LBN Legal business name | Burr, Diane Lynne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2007 |
Last updated | Sep 18th, 2008 - 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 | 1285836122 | NPPES |
New York | MEDICAID | 00474180 |
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