Moulton, Diane Marie

Moulton, Diane Marie is an sole proprietor health care provider with primary practice located at 149 N Main St , Fairport NY 14450-1434. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moulton, Diane Marie can be contacted via phone (585) 377-2230.

Contact Information

Primary practice address
149 N Main St Fairport NY 14450-1434
Phone: (585) 377-2230
Fax: (585) 377-2243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 321126901 New York

Profile Details

NPI number 1053673061
LBN Legal business name Moulton, Diane Marie
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2012
Last updated Jun 14th, 2012 - about 12 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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