Diver, Angela Dawn
Diver, Angela Dawn is an individual health care provider with primary practice located at 220 S Breiel Blvd Suite A, Middletown OH 45044-5158. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diver, Angela Dawn can be contacted via phone (513) 423-3327.Contact Information
Primary practice address
220 S Breiel Blvd Suite A
Middletown OH 45044-5158
Phone: (513) 423-3327
Fax: (513) 423-3676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I7092 | Ohio |
Profile Details
| NPI number | 1831255157 |
|---|---|
| LBN Legal business name | Diver, Angela Dawn |
| Credentials | LISW, LICDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jan 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831255157 | NPPES |
| Ohio | Other | 11661621 | CAQH CREDENTIALING |
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