Stauffer, Diane M

Stauffer, Diane M is an sole proprietor health care provider with primary practice located at 517 Deltona Blvd Ste A , Deltona FL 32725-8016. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stauffer, Diane M can be contacted via phone (386) 238-3830.

Contact Information

Primary practice address
517 Deltona Blvd Ste A Deltona FL 32725-8016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1912927567
LBN Legal business name Stauffer, Diane M
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Apr 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912927567 NPPES
Florida MEDICAID 765298400

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