Loomis, Dianne M

Loomis, Dianne M is an individual health care provider with primary practice located at 430 Niagara St Ubmd At Lakeshore, Buffalo NY 14201-1886. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Loomis, Dianne M can be contacted via phone (716) 856-2587.

Contact Information

Primary practice address
430 Niagara St Ubmd At Lakeshore Buffalo NY 14201-1886
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F331078 New York

Profile Details

NPI number 1285628149
LBN Legal business name Loomis, Dianne M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 11th, 2014 - about 10 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 1285628149 NPPES
New York MEDICAID 00384643

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