Srdich, Diana Lynn

Srdich, Diana Lynn is an individual health care provider with primary practice located at 8765 W Kelton Ln Bldg B-4, Suite 150, Peoria AZ 85382-3584. She recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as her primary health care specialty. Srdich, Diana Lynn can be contacted via phone (623) 979-7100.

Contact Information

Primary practice address
8765 W Kelton Ln Bldg B-4, Suite 150 Peoria AZ 85382-3584
Phone: (623) 979-7100
Fax: (623) 979-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 5254 Arizona

Profile Details

NPI number 1346320736
LBN Legal business name Srdich, Diana Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 19th, 2012 - about 12 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 1346320736 NPPES
Arizona Other 350043946 RR MEDICARE
Arizona Other 1Z4643 RR MEDICARE
Arizona Other AZ0248500 RR MEDICARE

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