Selleck, Diane Marie
Selleck, Diane Marie is an sole proprietor health care provider with primary practice located at 12033 Agency Rd , Parker AZ 85344-7718. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Selleck, Diane Marie can be contacted via phone (928) 669-3283.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 932530 |
Profile Details
| NPI number | 1750503900 |
|---|---|
| LBN Legal business name | Selleck, Diane Marie |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Oct 23rd, 2007 - about 18 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 | 1750503900 | NPPES |
| Other | 932530 | CDR REGISTRATION ID NUMBE | |
| Other | 37001488A | CDR REGISTRATION ID NUMBE |
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