Pfeifer, Diane M
Pfeifer, Diane M is an individual health care provider with primary practice located at 2350 S Dixon Rd Ste 400, Kokomo IN 46902-6420. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pfeifer, Diane M can be contacted via phone (765) 455-9801.Contact Information
Primary practice address
2350 S Dixon Rd Ste 400
Kokomo IN 46902-6420
Phone: (765) 455-9801
Fax: (765) 455-9840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01050142 | Indiana |
Profile Details
| NPI number | 1730183450 |
|---|---|
| LBN Legal business name | Pfeifer, Diane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Mar 22nd, 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 | 1730183450 | NPPES |
| Indiana | MEDICAID | 2002234890A | |
| Indiana | Other | 000000093486 |
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