Sholtz, Diana

Sholtz, Diana is an individual health care provider with primary practice located at 1 Stackpole Road , Machias ME 04654. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sholtz, Diana can be contacted via phone (207) 255-0996.

Contact Information

Primary practice address
1 Stackpole Road Machias ME 04654
Fax: (207) 255-8748
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000858 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1236 Maine

Profile Details

NPI number 1568471936
LBN Legal business name Sholtz, Diana
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568471936 NPPES
Vermont MEDICAID OVN3783
Vermont MEDICAID 432800499

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