Eden, Diane Holly
Eden, Diane Holly is an sole proprietor health care provider with primary practice located at 35000 Chardon Rd Suite #210, Willoughby Hills OH 44094-9012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Eden, Diane Holly can be contacted via phone (440) 951-5600.Contact Information
Primary practice address
35000 Chardon Rd Suite #210
Willoughby Hills OH 44094-9012
Phone: (440) 951-5600
Fax: (440) 951-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35054442 | Ohio |
Profile Details
| NPI number | 1720052772 |
|---|---|
| LBN Legal business name | Eden, Diane Holly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Mar 26th, 2017 - about 7 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 | 1720052772 | NPPES |
| Ohio | MEDICAID | 0711573 |
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