Bussey, Diana M

Bussey, Diana M is an individual health care provider with primary practice located at 1880 N Frontage Rd , Hastings MN 55033-2687. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bussey, Diana M can be contacted via phone (651) 438-1800.

Contact Information

Primary practice address
1880 N Frontage Rd Hastings MN 55033-2687
Fax: (651) 438-1894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9030 Minnesota

Profile Details

NPI number 1801845938
LBN Legal business name Bussey, Diana M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Mar 22nd, 2021 - about 3 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 1801845938 NPPES
Minnesota MEDICAID 733826100

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