Brandmiller, Diane M
Brandmiller, Diane M is an sole proprietor health care provider with primary practice located at 2592 N. Gregg Avenue, Suite 34 , Fayetteville AR 72703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brandmiller, Diane M can be contacted via phone (479) 225-7799.Contact Information
Primary practice address
2592 N. Gregg Avenue, Suite 34
Fayetteville AR 72703
Phone: (479) 225-7799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 05-14P | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2013010695 | Missouri |
Profile Details
| NPI number | 1447295043 |
|---|---|
| LBN Legal business name | Brandmiller, Diane M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | May 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447295043 | NPPES |
| Arkansas | Other | 162149719 | DOMHA MCD |
| Arkansas | Other | 5A091 | DOMHA MCD |
| Arkansas | Other | 5Y827 | DOMHA MCD |
| Arkansas | Other | P00363 | DOMHA MCD |
Popular Providers
-
Spaine, William E
225 N East Ave , Fayetteville AR 72701-5226 -
Hassel, Sabra Stair
24 W Sunbridge Dr , Fayetteville AR 72703-1822 -
Parker, Becky D.
2755 E Kantz Dr , Fayetteville AR 72703-3212 -
Jackson, Janissa D
1 W Sunbridge Dr , Fayetteville AR 72703-1825 -
Frank, Jamie
26 E Meadow St Ste 4, Fayetteville AR 72701-5320 -
Clemons, Susan D
2013 N Green Acres Rd Suite C, Fayetteville AR 72703 -
Faitak, Martin Thomas
204 N East Ave , Fayetteville AR 72701-5225 -
West, Vickie L.
179 N Church Ave Ste 201 , Fayetteville AR 72701-5267