Palac, Diane Marie
Palac, Diane Marie is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc Gim, Lebanon NH 03756-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Palac, Diane Marie can be contacted via phone (603) 653-9500.Contact Information
Primary practice address
1 Medical Center Dr Dhmc Gim
Lebanon NH 03756-1000
Phone: (603) 653-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 8678 | New Hampshire |
Profile Details
| NPI number | 1629006069 |
|---|---|
| LBN Legal business name | Palac, Diane Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Aug 21st, 2011 - about 13 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 | 1629006069 | NPPES |
| New Hampshire | MEDICAID | 80003179 | |
| New Hampshire | MEDICAID | 0RE3179 |
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