Koster, Diana
Koster, Diana is an sole proprietor health care provider with primary practice located at 701 San Mateo Blvd Ne , Albuquerque NM 87108-1434. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Koster, Diana can be contacted via phone (505) 265-5976.Contact Information
Primary practice address
701 San Mateo Blvd Ne
Albuquerque NM 87108-1434
Phone: (505) 265-5976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 80-192 | New Mexico |
Profile Details
| NPI number | 1699861856 |
|---|---|
| LBN Legal business name | Koster, Diana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1699861856 | NPPES |
| New Mexico | MEDICAID | 00007187 |
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