Fusselman, Diana J

Fusselman, Diana J is an individual health care provider with primary practice located at 550 N Hillside , Wichita KS 67214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Fusselman, Diana J can be contacted via phone (316) 962-8580.

Contact Information

Primary practice address
550 N Hillside Wichita KS 67214
Phone: (316) 962-8580
Fax: (316) 962-8581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 45463 Kansas

Profile Details

NPI number 1861587636
LBN Legal business name Fusselman, Diana J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861587636 NPPES
Kansas MEDICAID 200260620A
Kansas Other 631421
Kansas Other 161301

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