Diener, Elizabeth Baker

Diener, Elizabeth Baker is an individual health care provider with primary practice located at 838 Penn St , Reading PA 19602-1108. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Diener, Elizabeth Baker can be contacted via phone (610) 988-4838.

Contact Information

Primary practice address
838 Penn St Reading PA 19602-1108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001061 Pennsylvania

Profile Details

NPI number 1265651194
LBN Legal business name Diener, Elizabeth Baker
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265651194 NPPES
Pennsylvania MEDICAID 018810340001

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