Mancini, Diana L

Mancini, Diana L is an individual health care provider with primary practice located at 4747 Arapahoe Ave , Boulder CO 80303-1133. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mancini, Diana L can be contacted via phone (303) 415-7610.

Contact Information

Primary practice address
4747 Arapahoe Ave Boulder CO 80303-1133
Phone: (303) 415-7610
Fax: (303) 415-7618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44925 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44925 Colorado

Profile Details

NPI number 1619990090
LBN Legal business name Mancini, Diana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 9th, 2017 - about 7 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 1619990090 NPPES
Colorado MEDICAID 03457389

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