Seldomridge, Dianna Lynn
Seldomridge, Dianna Lynn is an individual health care provider with primary practice located at 2025 Frontis Plaza Blvd Suite 100, Winston Salem NC 27103-5663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Seldomridge, Dianna Lynn can be contacted via phone (336) 768-3240.Contact Information
Primary practice address
2025 Frontis Plaza Blvd Suite 100
Winston Salem NC 27103-5663
Phone: (336) 768-3240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 00026710 | Alabama |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2009-00087 | North Carolina |
Profile Details
| NPI number | 1487654216 |
|---|---|
| LBN Legal business name | Seldomridge, Dianna Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Apr 12th, 2013 - 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 | 1487654216 | NPPES |
| North Carolina | MEDICAID | PENDING | |
| North Carolina | Other | 15162 |
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