Creedon, Diane J
Creedon, Diane J is an sole proprietor health care provider with primary practice located at 1434 Porter Street , Fort Detrick MD 21702. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Creedon, Diane J can be contacted via phone (301) 619-7675.Contact Information
Primary practice address
1434 Porter Street
Fort Detrick MD 21702
Phone: (301) 619-7675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH15181 | Florida |
Profile Details
| NPI number | 1225488984 |
|---|---|
| LBN Legal business name | Creedon, Diane J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2016 |
| Last updated | Jun 7th, 2022 - about 3 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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