Bordelon, Dianna E

Bordelon, Dianna E is an sole proprietor health care provider with primary practice located at 2645 Lee St , Anchorage AK 99504-3123. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bordelon, Dianna E can be contacted via phone (907) 332-1350.

Contact Information

Primary practice address
2645 Lee St Anchorage AK 99504-3123
Phone: (907) 332-1350
Fax: (907) 332-1350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1164655361
LBN Legal business name Bordelon, Dianna E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2009
Last updated Aug 7th, 2013 - about 13 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 1164655361 NPPES
Alaska MEDICAID CM0075

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