Hannon, Diane H.
Hannon, Diane H. is an sole proprietor health care provider with primary practice located at 2194 Main St Ofc 6, Concord MA 01742-3829. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hannon, Diane H. can be contacted via phone (978) 505-5953.Contact Information
Primary practice address
2194 Main St Ofc 6
Concord MA 01742-3829
Phone: (978) 505-5953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1653 | Massachusetts |
Profile Details
| NPI number | 1538162938 |
|---|---|
| LBN Legal business name | Hannon, Diane H. |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 30th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538162938 | NPPES |
| Massachusetts | Other | LD0169 | BCBSMA LDN ANCILLARY PROV |
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