Carpenter, Diane

Carpenter, Diane is an individual health care provider with primary practice located at 2555 N Mlk Dr , Milwaukee WI 53212-2709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carpenter, Diane can be contacted via phone (414) 372-8080.

Contact Information

Primary practice address
2555 N Mlk Dr Milwaukee WI 53212-2709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28751 Wisconsin

Profile Details

NPI number 1467409888
LBN Legal business name Carpenter, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467409888 NPPES
Wisconsin MEDICAID 30840600

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