Pedersen, Diana
Pedersen, Diana is an sole proprietor health care provider with primary practice located at 350 W 22Nd St Ste 112 , Lombard IL 60148-6447. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Pedersen, Diana can be contacted via phone (630) 280-6044.Contact Information
Primary practice address
350 W 22Nd St Ste 112
Lombard IL 60148-6447
Phone: (630) 280-6044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 198.001614 | Illinois |
Profile Details
| NPI number | 1043931371 |
|---|---|
| LBN Legal business name | Pedersen, Diana |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2022 |
| Last updated | Jan 18th, 2023 - about last year |
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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