Petz, Diane V

Petz, Diane V is an individual health care provider with primary practice located at 66 E 3Rd St 201, Winona MN 55987-3478. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petz, Diane V can be contacted via phone (507) 452-7292.

Contact Information

Primary practice address
66 E 3Rd St 201 Winona MN 55987-3478
Fax: (507) 457-9887
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3132 Minnesota

Profile Details

NPI number 1003978024
LBN Legal business name Petz, Diane V
Credentials M.S., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 9th, 2007 - about 18 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 1003978024 NPPES
Minnesota Other 731291024499 PREFERRED ONE
Minnesota MEDICAID 118043 PREFERRED ONE
Minnesota Other 975T0PE PREFERRED ONE
Minnesota Other HP29923 PREFERRED ONE

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