Stewart, Diane

Stewart, Diane is an sole proprietor health care provider with primary practice located at 1911 Kennedy Dr Apt 302 , Mc Lean VA 22102-4729. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Stewart, Diane can be contacted via phone (912) 271-4773.

Contact Information

Primary practice address
1911 Kennedy Dr Apt 302 Mc Lean VA 22102-4729
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH26145 Florida

Profile Details

NPI number 1063148526
LBN Legal business name Stewart, Diane
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 3 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 1063148526 NPPES
Illinois Other 1256212168 TRICARE PRIME

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