Ennes, Diana
Ennes, Diana is an individual health care provider with primary practice located at 110 Beech St , Tawas City MI 48763-8314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Ennes, Diana can be contacted via phone (989) 362-9859.Contact Information
Primary practice address
110 Beech St
Tawas City MI 48763-8314
Phone: (989) 362-9859
Fax: (989) 362-9862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301044652 | Michigan |
Profile Details
| NPI number | 1508854860 |
|---|---|
| LBN Legal business name | Ennes, Diana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 7th, 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 | 1508854860 | NPPES |
| Michigan | MEDICAID | 3370220 |
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