Medina, Diane M
Medina, Diane M is an sole proprietor health care provider with primary practice located at 1664 19Th Ave , Kenosha WI 53140-1650. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Medina, Diane M can be contacted via phone (262) 551-2826.Contact Information
Primary practice address
1664 19Th Ave
Kenosha WI 53140-1650
Phone: (262) 551-2826
Fax: (847) 937-7812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 6534930 | Wisconsin |
Profile Details
| NPI number | 1225226483 |
|---|---|
| LBN Legal business name | Medina, Diane M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2007 |
| Last updated | Oct 11th, 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.
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