Shipman, Diana L
Shipman, Diana L is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Shipman, Diana L can be contacted via phone (479) 444-5093.Contact Information
Primary practice address
1100 N College Ave
Fayetteville AR 72703-1944
Phone: (479) 444-5093
Fax: (479) 587-6105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E1906 | Arkansas |
Profile Details
| NPI number | 1003879313 |
|---|---|
| LBN Legal business name | Shipman, Diana L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Oct 23rd, 2019 - about 5 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 | 1003879313 | NPPES |
| Florida | MEDICAID | 2762211100 | |
| Florida | MEDICAID | 156173001 |
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