Gassiraro, Diane Marie

Gassiraro, Diane Marie is an sole proprietor health care provider with primary practice located at 1303 Gerber Woods Dr , Edwardsville IL 62025-3102. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gassiraro, Diane Marie can be contacted via phone (618) 659-0959.

Contact Information

Primary practice address
1303 Gerber Woods Dr Edwardsville IL 62025-3102
Phone: (618) 659-0959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois

Profile Details

NPI number 1790958577
LBN Legal business name Gassiraro, Diane Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Apr 11th, 2008 - about 17 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 1790958577 NPPES
Illinois Other 0006027820 BLUE CROSS BLUE SHIELD

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