Chamblin, Dianna
Chamblin, Dianna is an individual health care provider with primary practice located at 4027 Hoyt Ave Ste 104 , Everett WA 98201-4972. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Chamblin, Dianna can be contacted via phone (425) 339-5489.Contact Information
Primary practice address
4027 Hoyt Ave Ste 104
Everett WA 98201-4972
Phone: (425) 339-5489
Fax: (425) 317-3689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 20091 | Washington |
Profile Details
| NPI number | 1295821007 |
|---|---|
| LBN Legal business name | Chamblin, Dianna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295821007 | NPPES |
| Washington | MEDICAID | 1007080 |
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