Ivan, Diane

Ivan, Diane is an individual health care provider with primary practice located at 3095 Kettering Blvd , Moraine OH 45439-1983. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ivan, Diane can be contacted via phone (937) 293-8300.

Contact Information

Primary practice address
3095 Kettering Blvd Moraine OH 45439-1983
Phone: (937) 293-8300
Fax: (937) 534-1350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E1287 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S13067 Ohio

Profile Details

NPI number 1437403524
LBN Legal business name Ivan, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2012
Last updated Oct 29th, 2012 - about 13 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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