Constance, Diana Sue

Constance, Diana Sue is an sole proprietor health care provider with primary practice located at 180 Turner Dr , Lebanon OH 45036-1023. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Constance, Diana Sue can be contacted via phone (513) 932-1092.

Contact Information

Primary practice address
180 Turner Dr Lebanon OH 45036-1023
Phone: (513) 932-1092
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN094301 Ohio

Profile Details

NPI number 1063631554
LBN Legal business name Constance, Diana Sue
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 9th, 2007 - 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 1063631554 NPPES
Ohio MEDICAID 2560778

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