Madison, Dianne

Madison, Dianne is an individual health care provider with primary practice located at 300 Harbor Blvd , Belmont CA 94002-4018. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Madison, Dianne can be contacted via phone (650) 380-6149.

Contact Information

Primary practice address
300 Harbor Blvd Belmont CA 94002-4018
Phone: (650) 380-6149
Fax: (650) 952-5846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1447601885
LBN Legal business name Madison, Dianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Jul 21st, 2022 - about 3 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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