Granese, Diana

Granese, Diana is an individual health care provider with primary practice located at 720 2Nd Ave Suite 303, Bowling Green KY 42101-1778. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Granese, Diana can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
720 2Nd Ave Suite 303 Bowling Green KY 42101-1778
Phone: (270) 781-5111
Fax: (270) 780-0478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25009 Kentucky

Profile Details

NPI number 1518954676
LBN Legal business name Granese, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 2nd, 2014 - 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 1518954676 NPPES
Kentucky Other 000000049407 BCBS
Kentucky MEDICAID 64250095 BCBS

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