Oman, Diane M

Oman, Diane M is an individual health care provider with primary practice located at 741 N Grand Ave Ste 210, Waukesha WI 53186-4820. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Oman, Diane M can be contacted via phone (262) 547-2463.

Contact Information

Primary practice address
741 N Grand Ave Ste 210 Waukesha WI 53186-4820
Phone: (262) 547-2463
Fax: (262) 547-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 481125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1674123 Wisconsin

Profile Details

NPI number 1346223740
LBN Legal business name Oman, Diane M
Credentials MS LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346223740 NPPES
Wisconsin MEDICAID 39188900

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