Divan, Darcee Lynn

Divan, Darcee Lynn is an individual health care provider with primary practice located at 810 W Anthony Dr , Urbana IL 61802-7431. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Divan, Darcee Lynn can be contacted via phone (217) 383-3400.

Contact Information

Primary practice address
810 W Anthony Dr Urbana IL 61802-7431
Fax:
Website:

Health care specialties

Profile Details

NPI number 1306978374
LBN Legal business name Divan, Darcee Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated May 30th, 2008 - 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 1306978374 NPPES
Indiana Other 200845000 EARLY INTERVENTION
Indiana MEDICAID 200848330 EARLY INTERVENTION

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