Shumbusho, Diane Iragena
Shumbusho, Diane Iragena is an individual health care provider with primary practice located at 1575 Washington St , Watertown NY 13601-9371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shumbusho, Diane Iragena can be contacted via phone (315) 785-4155.Contact Information
Primary practice address
1575 Washington St
Watertown NY 13601-9371
Phone: (315) 785-4155
Fax: (315) 779-5066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101264178 | Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 328335 | New York |
Profile Details
| NPI number | 1457708802 |
|---|---|
| LBN Legal business name | Shumbusho, Diane Iragena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2016 |
| Last updated | Apr 17th, 2024 - about last year |
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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