Heasley, Diane Dawn

Heasley, Diane Dawn is an individual health care provider with primary practice located at 6116 E Warren Ave , Denver CO 80222-5703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Heasley, Diane Dawn can be contacted via phone (303) 512-0888.

Contact Information

Primary practice address
6116 E Warren Ave Denver CO 80222-5703
Phone: (303) 512-0888
Fax: (303) 512-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 35520 Colorado
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35520 Colorado

Profile Details

NPI number 1073582672
LBN Legal business name Heasley, Diane Dawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 18th, 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 1073582672 NPPES
Arizona MEDICAID 641789
Arizona MEDICAID Z7622
Arizona MEDICAID 01355205
Arizona MEDICAID Z0237

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