Midgley, Diana L.

Midgley, Diana L. is an sole proprietor health care provider with primary practice located at 569 Wildwood Ave , Jackson MI 49201-1048. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Midgley, Diana L. can be contacted via phone (517) 768-1700.

Contact Information

Primary practice address
569 Wildwood Ave Jackson MI 49201-1048
Phone: (517) 768-1700
Fax: (517) 768-1739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801070662 Michigan

Profile Details

NPI number 1114994100
LBN Legal business name Midgley, Diana L.
Credentials L.M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jan 30th, 2015 - about 9 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 1114994100 NPPES
Michigan Other 457611 VALUEOPTIONS
Michigan Other 38335 VALUEOPTIONS
Michigan Other 7066333 VALUEOPTIONS
Michigan Other 8008974720 VALUEOPTIONS
Michigan Other 87726 VALUEOPTIONS
Michigan Other IP 528494 VALUEOPTIONS
Michigan Other 80-0-89-7472-0 VALUEOPTIONS

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