Godorov, Diane Frances

Godorov, Diane Frances is an individual health care provider with primary practice located at 6Th Avenue And Spruce Street , West Reading PA 19611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Godorov, Diane Frances can be contacted via phone (484) 628-3637.

Contact Information

Primary practice address
6Th Avenue And Spruce Street West Reading PA 19611
Fax: (484) 628-8773
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS010633L Pennsylvania

Profile Details

NPI number 1942377015
LBN Legal business name Godorov, Diane Frances
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 7th, 2013 - about 11 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 1942377015 NPPES
Pennsylvania MEDICAID 101863880

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