White, Diane Teresa

White, Diane Teresa is an sole proprietor health care provider with primary practice located at 1700 S Main St , Goshen IN 46526-4724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. White, Diane Teresa can be contacted via phone (574) 535-7474.

Contact Information

Primary practice address
1700 S Main St Goshen IN 46526-4724
Fax: (574) 535-7195
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 70000178A Indiana

Profile Details

NPI number 1578797304
LBN Legal business name White, Diane Teresa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2009
Last updated May 7th, 2009 - 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.

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