Ball, Diane Cora

Ball, Diane Cora is an sole proprietor health care provider with primary practice located at 521 W Grand Ave , Oakland CA 94612-1649. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Ball, Diane Cora can be contacted via phone (510) 663-7313.

Contact Information

Primary practice address
521 W Grand Ave Oakland CA 94612-1649
Phone: (510) 663-7313
Fax: (510) 663-5908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1023264728
LBN Legal business name Ball, Diane Cora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2008
Last updated Aug 13th, 2008 - about 18 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 1023264728 NPPES
California MEDICAID 8133

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