Diaz, Joann
Diaz, Joann is an sole proprietor health care provider with primary practice located at 86 Watch Tower Rd , Plymouth CT 06782-2811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Diaz, Joann can be contacted via phone (860) 485-4931.Contact Information
Primary practice address
86 Watch Tower Rd
Plymouth CT 06782-2811
Phone: (860) 485-4931
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 00 | Connecticut |
Profile Details
| NPI number | 1255064549 |
|---|---|
| LBN Legal business name | Diaz, Joann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2022 |
| Last updated | Jul 5th, 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 | 1255064549 | NPPES |
| Other | 00 | NA | |
| Other | E48393 | NA |
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