Rotnem, Diane Louise
Rotnem, Diane Louise is an individual health care provider with primary practice located at 1406 6Th Avenue North St. Cloud Hospital, St. Cloud MN 56303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rotnem, Diane Louise can be contacted via phone (320) 251-2700.Contact Information
Primary practice address
1406 6Th Avenue North St. Cloud Hospital
St. Cloud MN 56303
Phone: (320) 251-2700
Fax: (320) 229-5109
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000535 | Connecticut |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | AP08-992 | Minnesota |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19567 | Minnesota |
Profile Details
NPI number | 1891902979 |
---|---|
LBN Legal business name | Rotnem, Diane Louise |
Credentials | PHD, LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2007 |
Last updated | Apr 6th, 2009 - about 15 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 | 1891902979 | NPPES |
Connecticut | Other | 14000535CT 01 | ANTHEM PROVIDER ID |
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