Clavin, Diana K.

Clavin, Diana K. is an individual health care provider with primary practice located at 1150 Robert Blvd Suite 360, Slidell LA 70458-2004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Clavin, Diana K. can be contacted via phone (985) 781-4848.

Contact Information

Primary practice address
1150 Robert Blvd Suite 360 Slidell LA 70458-2004
Fax: (985) 781-4850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 20824 Louisiana

Profile Details

NPI number 1669463915
LBN Legal business name Clavin, Diana K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 26th, 2018 - about 6 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 1669463915 NPPES
Mississippi MEDICAID 02550870
Mississippi Other 160045156
Mississippi MEDICAID 1980935

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