Correa, Diana

Correa, Diana is an sole proprietor health care provider with primary practice located at 63 Main St , Brockton MA 02301-4042. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Correa, Diana can be contacted via phone (508) 894-3681.

Contact Information

Primary practice address
63 Main St Brockton MA 02301-4042
Phone: (508) 894-3681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 17-641 Florida
Dental Providers / Dentist 122300000X DL15216 Massachusetts

Profile Details

NPI number 1336647783
LBN Legal business name Correa, Diana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2018
Last updated Oct 29th, 2023 - about 2 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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