Diaz, Yoloxochitl

Diaz, Yoloxochitl is an individual health care provider with primary practice located at 1881 Chicago St , De Pere WI 54115-3770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Diaz, Yoloxochitl can be contacted via phone (920) 403-8000.

Contact Information

Primary practice address
1881 Chicago St De Pere WI 54115-3770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43555 Wisconsin

Profile Details

NPI number 1174561120
LBN Legal business name Diaz, Yoloxochitl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1174561120 NPPES
Wisconsin MEDICAID 34155300

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