Wroe, Diane Eileen
Wroe, Diane Eileen is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wroe, Diane Eileen can be contacted via phone (541) 523-7400.Contact Information
Primary practice address
3425 13Th St
Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 106740 | Oregon |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 24-QMHA-R-5134 | Oregon |
Profile Details
NPI number | 1003546052 |
---|---|
LBN Legal business name | Wroe, Diane Eileen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2022 |
Last updated | Apr 8th, 2024 - about last year |
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 | 1003546052 | NPPES |
Oregon | Other | 5631182 | ODL |
Oregon | MEDICAID | 500807977 | ODL |
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