Surrell, Diana Rae
Surrell, Diana Rae is an individual health care provider with primary practice located at 6728 Vining Rd , Greenville MI 48838-9784. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Surrell, Diana Rae can be contacted via phone (616) 225-8220.Contact Information
Primary practice address
6728 Vining Rd
Greenville MI 48838-9784
Phone: (616) 225-8220
Fax: (616) 225-8226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801083023 | Michigan |
Profile Details
| NPI number | 1740372838 |
|---|---|
| LBN Legal business name | Surrell, Diana Rae |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 2nd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740372838 | NPPES |
| Michigan | MEDICAID | 1715928 |
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