Ortiz, Diana C
Ortiz, Diana C is an individual health care provider with primary practice located at 325 N Lafayette Blvd , South Bend IN 46601-1208. She recently has only one registered license in Other Service Providers / Interpreter, which is considered as her primary health care specialty. Ortiz, Diana C can be contacted via phone (574) 647-2171.Contact Information
Primary practice address
325 N Lafayette Blvd
South Bend IN 46601-1208
Phone: (574) 647-2171
Fax: (574) 647-1351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Interpreter | 171R00000X | NA |
Profile Details
| NPI number | 1699839779 |
|---|---|
| LBN Legal business name | Ortiz, Diana C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 9th, 2007 - 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 | 1699839779 | NPPES |
| Indiana | MEDICAID | 2006747000 |
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