Roe, Diana Lynn
Roe, Diana Lynn is an individual health care provider with primary practice located at 1000 E Primrose St , Springfield MO 65807-5154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roe, Diana Lynn can be contacted via phone (417) 269-9812.Contact Information
Primary practice address
1000 E Primrose St
Springfield MO 65807-5154
Phone: (417) 269-9812
Fax: (417) 269-9853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E3244 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006022625 | Missouri |
Profile Details
| NPI number | 1851357834 |
|---|---|
| LBN Legal business name | Roe, Diana Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 18th, 2019 - about 5 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 | 1851357834 | NPPES |
| Arkansas | MEDICAID | 146263001 | |
| Arkansas | MEDICAID | 206273500 |
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