Brown, Diane Kathleen
Brown, Diane Kathleen is an individual health care provider with primary practice located at 3033 Adams Ave Unit 6, San Diego CA 92116-1504. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brown, Diane Kathleen can be contacted via phone (619) 823-4616.Contact Information
Primary practice address
3033 Adams Ave Unit 6
San Diego CA 92116-1504
Phone: (619) 823-4616
Fax: (619) 584-4257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | RDHAP96 | California |
Profile Details
| NPI number | 1295765147 |
|---|---|
| LBN Legal business name | Brown, Diane Kathleen |
| Credentials | RDHAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jun 8th, 2022 - about 4 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 | 1295765147 | NPPES |
| California | MEDICAID | H00096-01 | |
| California | Other | H0009601 | |
| California | MEDICAID | 1295765147 |
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