Eodice, Diane M
Eodice, Diane M is an individual health care provider with primary practice located at 820 N Montana Ave , Helena MT 59601-3856. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eodice, Diane M can be contacted via phone (406) 443-7733.Contact Information
Primary practice address
820 N Montana Ave
Helena MT 59601-3856
Phone: (406) 443-7733
Fax: (406) 443-8292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9893 | Montana |
Profile Details
| NPI number | 1023098696 |
|---|---|
| LBN Legal business name | Eodice, Diane M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Dec 3rd, 2012 - about 12 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 | 1023098696 | NPPES |
| Montana | MEDICAID | 0092667 | |
| Montana | Other | 0098935 |
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