Dunniway, Diane Lynn

Dunniway, Diane Lynn is an sole proprietor health care provider with primary practice located at 1180 Newfield Ave , Stamford CT 06905-1409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dunniway, Diane Lynn can be contacted via phone (314) 888-5233.

Contact Information

Primary practice address
1180 Newfield Ave Stamford CT 06905-1409
Phone: (314) 888-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209004498 Illinois

Profile Details

NPI number 1104986330
LBN Legal business name Dunniway, Diane Lynn
Credentials NPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Mar 17th, 2023 - about last year

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 1104986330 NPPES
Illinois MEDICAID 041207195

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