Fargo, Diane Lynn

Fargo, Diane Lynn is an individual health care provider with primary practice located at 2441 Vestal Pkwy E , Vestal NY 13850-2001. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Fargo, Diane Lynn can be contacted via phone (607) 770-6297.

Contact Information

Primary practice address
2441 Vestal Pkwy E Vestal NY 13850-2001
Fax: (607) 766-9582
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 009393 New York

Profile Details

NPI number 1477012631
LBN Legal business name Fargo, Diane Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated Mar 18th, 2019 - about 5 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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