Davison, Diane

Davison, Diane is an individual health care provider with primary practice located at 29 Morning St , Portland ME 04101-4406. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Davison, Diane can be contacted via phone (207) 774-2822.

Contact Information

Primary practice address
29 Morning St Portland ME 04101-4406
Phone: (207) 774-2822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MT247 Maine

Profile Details

NPI number 1992758809
LBN Legal business name Davison, Diane
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 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 1992758809 NPPES
Maine Other 060471 ANTHEM BLUE CROSS BLUE SH

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