Spoljoric, Diane E

Spoljoric, Diane E is an individual health care provider with primary practice located at 6916 W Johnson Rd , La Porte IN 46350-6548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spoljoric, Diane E can be contacted via phone (219) 326-7337.

Contact Information

Primary practice address
6916 W Johnson Rd La Porte IN 46350-6548
Fax: (219) 814-4228
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000170A Indiana

Profile Details

NPI number 1134213028
LBN Legal business name Spoljoric, Diane E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134213028 NPPES
Indiana MEDICAID 200233460A

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