Burnett, Diane H
Burnett, Diane H is an individual health care provider with primary practice located at 210 E Gray St Ste 601, Louisville KY 40202-3902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Burnett, Diane H can be contacted via phone (502) 588-3600.Contact Information
Primary practice address
210 E Gray St Ste 601
Louisville KY 40202-3902
Phone: (502) 588-3600
Fax: (502) 588-9536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3000686 | Kentucky |
Profile Details
| NPI number | 1669458774 |
|---|---|
| LBN Legal business name | Burnett, Diane H |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Oct 13th, 2020 - about 5 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 | 1669458774 | NPPES |
| Indiana | MEDICAID | 200855480 | |
| Indiana | MEDICAID | 78003548 |
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