Chizmas, Dianna L

Chizmas, Dianna L is an individual health care provider with primary practice located at 4421 Sun'N Lake Blvd Suite B, Sebring FL 33872-2172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chizmas, Dianna L can be contacted via phone (863) 382-9600.

Contact Information

Primary practice address
4421 Sun'N Lake Blvd Suite B Sebring FL 33872-2172
Phone: (863) 382-9600
Fax: (863) 382-0107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3150382 Florida

Profile Details

NPI number 1245496736
LBN Legal business name Chizmas, Dianna L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated May 21st, 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 1245496736 NPPES
Florida MEDICAID 000099300

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