Rose, Diane
Rose, Diane is an sole proprietor health care provider with primary practice located at 8 Lancelot Ct Apt 27 , Salem NH 03079-3579. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rose, Diane can be contacted via phone (035) 547-1746.Contact Information
Primary practice address
8 Lancelot Ct Apt 27
Salem NH 03079-3579
Phone: (035) 547-1746
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 4733 | Massachusetts |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 445 | Massachusetts |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4733 | Massachusetts |
Profile Details
NPI number | 1982775011 |
---|---|
LBN Legal business name | Rose, Diane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 12th, 2006 |
Last updated | Jan 16th, 2023 - about 2 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 | 1982775011 | NPPES |
Massachusetts | MEDICAID | 1982775011 |
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