Wertz, Diane
Wertz, Diane is an sole proprietor health care provider with primary practice located at 4423 Nw 6Th Pl Suite C, Gainesville FL 32607-6115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wertz, Diane can be contacted via phone (352) 379-8555.Contact Information
Primary practice address
4423 Nw 6Th Pl Suite C
Gainesville FL 32607-6115
Phone: (352) 379-8555
Fax: (352) 379-8585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA4409 | Florida |
Profile Details
NPI number | 1770633638 |
---|---|
LBN Legal business name | Wertz, Diane |
Credentials | CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2007 |
Last updated | Apr 6th, 2010 - about 15 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 | 1770633638 | NPPES |
Florida | MEDICAID | 891765500 |
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