Ortman, Diana J

Ortman, Diana J is an individual health care provider with primary practice located at 422 Garrisonville Rd Suite 111, Stafford VA 22554-1573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ortman, Diana J can be contacted via phone (540) 720-8000.

Contact Information

Primary practice address
422 Garrisonville Rd Suite 111 Stafford VA 22554-1573
Phone: (540) 720-8000
Fax: (540) 657-4366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002374 Virginia

Profile Details

NPI number 1376645275
LBN Legal business name Ortman, Diana J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376645275 NPPES
Virginia Other 0110002374 VIRGINIA LICENSE

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