Todd, Diane H
Todd, Diane H is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Todd, Diane H can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4578
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200350035NPACNPPP | Oregon |
Profile Details
NPI number | 1134174220 |
---|---|
LBN Legal business name | Todd, Diane H |
Credentials | ACNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2006 |
Last updated | Jul 21st, 2015 - about 10 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 | 1134174220 | NPPES |
Oregon | Other | 93-0635514 | NBMC GROUP TAX ID FOR BILLING |
Oregon | Other | 1407812365 | NBMC GROUP TAX ID FOR BILLING |
Oregon | Other | R0000WFBTV | NBMC GROUP TAX ID FOR BILLING |
Oregon | Other | 161133 | NBMC GROUP TAX ID FOR BILLING |
Oregon | MEDICAID | 028112 | NBMC GROUP TAX ID FOR BILLING |
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