Padilla, Diana M

Padilla, Diana M is an individual health care provider with primary practice located at 500 Veterans Way , Tempe AZ 85287-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Padilla, Diana M can be contacted via phone (480) 965-9430.

Contact Information

Primary practice address
500 Veterans Way Tempe AZ 85287-0001
Phone: (480) 965-9430
Fax: (480) 965-8224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 373 New Mexico

Profile Details

NPI number 1043272602
LBN Legal business name Padilla, Diana M
Credentials MS, ATC, EMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 25th, 2010 - about 14 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 1043272602 NPPES
Arizona Other 0833 AZ STATE BOARD OF ATHLETIC TRAINING
Arizona Other 020402087 AZ STATE BOARD OF ATHLETIC TRAINING
Arizona Other AT-AT-10112912 AZ STATE BOARD OF ATHLETIC TRAINING

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