Klivington, Diane
Klivington, Diane is an individual health care provider with primary practice located at 104 Medical Dr , Dothan AL 36303-6902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Klivington, Diane can be contacted via phone (850) 333-5113.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 21472 | Mississippi |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 1313 | Hawaii |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2094 | Alabama |
Profile Details
NPI number | 1407990740 |
---|---|
LBN Legal business name | Klivington, Diane |
Credentials | DO, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2007 |
Last updated | Dec 8th, 2020 - about 4 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 | 1407990740 | NPPES |
Mississippi | MEDICAID | 04674024 |
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