Diller, Mindy
Diller, Mindy is an individual health care provider with primary practice located at 2431 S Loop 289 , Lubbock TX 79423-1519. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Diller, Mindy can be contacted via phone (806) 771-7661.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | DT83120 | Texas |
Profile Details
| NPI number | 1073931200 |
|---|---|
| LBN Legal business name | Diller, Mindy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2014 |
| Last updated | Oct 30th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073931200 | NPPES |
| Texas | MEDICAID | 337183301 | |
| Texas | Other | 8EG102 |
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