Verde, Diana Lynn

Verde, Diana Lynn is an sole proprietor health care provider with primary practice located at 649 W Oshkosh St , Ripon WI 54971-1040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Verde, Diana Lynn can be contacted via phone (920) 745-2282.

Contact Information

Primary practice address
649 W Oshkosh St Ripon WI 54971-1040
Fax: (920) 745-2280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 34295-02 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C53575 California

Profile Details

NPI number 1235347576
LBN Legal business name Verde, Diana Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Feb 12th, 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 1235347576 NPPES
Wisconsin MEDICAID 31956700

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