Velikova, Diana E.
Velikova, Diana E. is an individual health care provider with primary practice located at 2555 Marvin Rd Ne , Lacey WA 98516-3138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Velikova, Diana E. can be contacted via phone (360) 923-4600.Contact Information
Primary practice address
2555 Marvin Rd Ne
Lacey WA 98516-3138
Phone: (360) 923-4600
Fax: (360) 412-2256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00042875 | Washington |
Profile Details
| NPI number | 1841295615 |
|---|---|
| LBN Legal business name | Velikova, Diana E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 2nd, 2018 - about 6 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 | 1841295615 | NPPES |
| Washington | MEDICAID | 8381659 |
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