Diana, Thomas Leo

Diana, Thomas Leo is an individual health care provider with primary practice located at 66 E 3Rd St , Winona MN 55987-3478. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Diana, Thomas Leo can be contacted via phone (507) 452-1021.

Contact Information

Primary practice address
66 E 3Rd St Winona MN 55987-3478
Phone: (507) 452-1021
Fax: (507) 452-1504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X LP1219 Minnesota

Profile Details

NPI number 1093874281
LBN Legal business name Diana, Thomas Leo
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jan 22nd, 2010 - 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 1093874281 NPPES
Minnesota Other 731291041000 PREFERRED ONE
Minnesota Other 126921 PREFERRED ONE
Minnesota MEDICAID 200048200 PREFERRED ONE
Minnesota Other 78G63DI PREFERRED ONE
Minnesota Other HP41036 PREFERRED ONE

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