Rager, Diane Rene'
Rager, Diane Rene' is an sole proprietor health care provider with primary practice located at 1335 W Ravina Ave , Decatur IL 62526-3136. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Rager, Diane Rene' can be contacted via phone (217) 972-1553.Contact Information
Primary practice address
1335 W Ravina Ave
Decatur IL 62526-3136
Phone: (217) 972-1553
Fax: (217) 872-1491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1548481930 |
|---|---|
| LBN Legal business name | Rager, Diane Rene' |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1548481930 | NPPES |
| Illinois | MEDICAID | 055 |
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