Ross, Diane Ellen
Ross, Diane Ellen is an sole proprietor health care provider with primary practice located at 749 Oakleigh Ave , Gulfport MS 39507-3809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ross, Diane Ellen can be contacted via phone (228) 896-3317.Contact Information
Primary practice address
749 Oakleigh Ave
Gulfport MS 39507-3809
Phone: (228) 896-3317
Fax: (228) 896-3314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 09562 | Mississippi |
Profile Details
| NPI number | 1447323001 |
|---|---|
| LBN Legal business name | Ross, Diane Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 31st, 2014 - about 11 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 | 1447323001 | NPPES |
| Mississippi | MEDICAID | 00010874 |
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