Craighead, Diane
Craighead, Diane is an sole proprietor health care provider with primary practice located at 621 77Th Ave Ne , Olympia WA 98506-9775. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Craighead, Diane can be contacted via phone (360) 786-6781.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH00001272 | Washington |
Profile Details
| NPI number | 1285753814 |
|---|---|
| LBN Legal business name | Craighead, Diane |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285753814 | NPPES |
| Washington | MEDICAID | 5900246 |
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