Issen, Dianne

Issen, Dianne is an individual health care provider with primary practice located at 4030 Inman Park Lane , Buford GA 30519. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Issen, Dianne can be contacted via phone (678) 482-6100.

Contact Information

Primary practice address
4030 Inman Park Lane Buford GA 30519
Phone: (678) 482-6100
Fax: (770) 932-5684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT003740 Georgia

Profile Details

NPI number 1669663035
LBN Legal business name Issen, Dianne
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Aug 9th, 2007 - about 17 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 1669663035 NPPES
Georgia MEDICAID 896011253E

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