Mainwold, Diane Hermanie
Mainwold, Diane Hermanie is an individual health care provider with primary practice located at 1318 S Pine St , Melbourne FL 32901-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mainwold, Diane Hermanie can be contacted via phone (321) 952-9500.Contact Information
Primary practice address
1318 S Pine St
Melbourne FL 32901-3117
Phone: (321) 952-9500
Fax: (321) 952-2299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | OS6956 | Florida |
Profile Details
| NPI number | 1659365401 |
|---|---|
| LBN Legal business name | Mainwold, Diane Hermanie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Sep 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659365401 | NPPES |
| Florida | MEDICAID | 070207200 |
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