Edgemon, Diane

Edgemon, Diane is an sole proprietor health care provider with primary practice located at 60 Fenton St Ste 11 , Livermore CA 94550-4148. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Edgemon, Diane can be contacted via phone (925) 337-3522.

Contact Information

Primary practice address
60 Fenton St Ste 11 Livermore CA 94550-4148
Phone: (925) 337-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X L7180 California

Profile Details

NPI number 1043748544
LBN Legal business name Edgemon, Diane
Credentials LE, CPE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2017
Last updated May 28th, 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.

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