Musgrave, Diane
Musgrave, Diane is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4603. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Musgrave, Diane can be contacted via phone (719) 526-7399.Contact Information
Primary practice address
1650 Cochrane Cir
Fort Carson CO 80913-4603
Phone: (719) 526-7399
Fax: (719) 526-7984
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2002010341 | Missouri |
Profile Details
NPI number | 1942333257 |
---|---|
LBN Legal business name | Musgrave, Diane |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2007 |
Last updated | Nov 3rd, 2008 - about 17 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 | 1942333257 | NPPES |
Missouri | MEDICAID | 495989709 |
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