Haskins, Diana L
Haskins, Diana L is an individual health care provider with primary practice located at 1761 M 139 , Benton Harbor MI 49022-6101. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Haskins, Diana L can be contacted via phone (269) 934-0424.Contact Information
Primary practice address
1761 M 139
Benton Harbor MI 49022-6101
Phone: (269) 934-0424
Fax: (269) 934-0570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046-008855 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004811 | Michigan |
Profile Details
| NPI number | 1811065469 |
|---|---|
| LBN Legal business name | Haskins, Diana L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Apr 6th, 2021 - about 3 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 | 1811065469 | NPPES |
| Michigan | MEDICAID | 1811065469 |
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