Premoe, Diana Lynn
Premoe, Diana Lynn is an individual health care provider with primary practice located at 218 N Pleasant St Independence School District, Independence MO 64050-2655. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Premoe, Diana Lynn can be contacted via phone (816) 521-2700.Contact Information
Primary practice address
218 N Pleasant St Independence School District
Independence MO 64050-2655
Phone: (816) 521-2700
Fax: (816) 521-2999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2005023496 | Missouri |
Profile Details
| NPI number | 1285769836 |
|---|---|
| LBN Legal business name | Premoe, Diana Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Feb 19th, 2009 - about 16 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 | 1285769836 | NPPES |
| Missouri | MEDICAID | 467595005 |
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