Johanson, Diana E.

Johanson, Diana E. is an individual health care provider with primary practice located at 193 Locust St Ste. 2, Northampton MA 01060-2066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johanson, Diana E. can be contacted via phone (413) 584-8700.

Contact Information

Primary practice address
193 Locust St Ste. 2 Northampton MA 01060-2066
Phone: (413) 584-8700
Fax: (413) 584-1714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 216773 Massachusetts

Profile Details

NPI number 1295712453
LBN Legal business name Johanson, Diana E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 15th, 2012 - about 12 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 1295712453 NPPES
Massachusetts Other 000000026863 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 33435 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other AA2007 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 216773 BMC
Massachusetts Other 467270 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 5306427001 BMC
Massachusetts MEDICAID 0189651 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other J26513 BMC
Massachusetts Other 04-2817581 BMC
Massachusetts Other 3410756 BMC

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