Dally, Diana L.

Dally, Diana L. is an sole proprietor health care provider with primary practice located at 1020 Trump Rd , Carrollton OH 44615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dally, Diana L. can be contacted via phone (330) 627-7055.

Contact Information

Primary practice address
1020 Trump Rd Carrollton OH 44615
Phone: (330) 627-7055
Fax: (330) 627-7602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 188084 Ohio

Profile Details

NPI number 1366452617
LBN Legal business name Dally, Diana L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Feb 13th, 2011 - about 14 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 1366452617 NPPES
Ohio MEDICAID 2468155

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