Jamieson, Diane
Jamieson, Diane is an individual health care provider with primary practice located at 29 Pine St , Southbridge MA 01550-1823. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jamieson, Diane can be contacted via phone (508) 765-9167.Contact Information
Primary practice address
29 Pine St
Southbridge MA 01550-1823
Phone: (508) 765-9167
Fax: (508) 764-2462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0358 |
Profile Details
| NPI number | 1437265063 |
|---|---|
| LBN Legal business name | Jamieson, Diane |
| Credentials | CADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Oct 7th, 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 | 1437265063 | NPPES |
| Massachusetts | Other | 2222001910 | BCBS |
| Massachusetts | MEDICAID | 1200704 | BCBS |
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