Antonacci, Diana J
Antonacci, Diana J is an individual health care provider with primary practice located at 905 Johns Hopkins Dr Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville NC 27834-7225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Antonacci, Diana J can be contacted via phone (252) 744-1406.Contact Information
Primary practice address
905 Johns Hopkins Dr Ecu Physicians Psychiatric Medicine- Outpatient Clinic
Greenville NC 27834-7225
Phone: (252) 744-1406
Fax: (252) 744-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 27355 | North Carolina |
Profile Details
| NPI number | 1114923620 |
|---|---|
| LBN Legal business name | Antonacci, Diana J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Oct 26th, 2011 - 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 | 1114923620 | NPPES |
| North Carolina | MEDICAID | 8911625 | |
| North Carolina | Other | 11625 | |
| North Carolina | Other | 260032395 |
Popular Providers
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