De George, Diane
De George, Diane is an individual health care provider with primary practice located at 5801 N 51St Ave , Glendale AZ 85301-6057. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. De George, Diane can be contacted via phone (602) 685-6000.Contact Information
Primary practice address
5801 N 51St Ave
Glendale AZ 85301-6057
Phone: (602) 685-6000
Fax: (602) 930-0358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-11685 | Arizona |
Profile Details
| NPI number | 1730579327 |
|---|---|
| LBN Legal business name | De George, Diane |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2015 |
| Last updated | Aug 25th, 2021 - 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.
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