Diegmann, Elaine K

Diegmann, Elaine K is an individual health care provider with primary practice located at 65 Bergen St , Newark NJ 07107-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Diegmann, Elaine K can be contacted via phone (973) 972-4298.

Contact Information

Primary practice address
65 Bergen St Newark NJ 07107-3001
Phone: (973) 972-4298
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 25M00002001 New Jersey

Profile Details

NPI number 1407817166
LBN Legal business name Diegmann, Elaine K
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 17th, 2015 - about 11 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 1407817166 NPPES
New Jersey MEDICAID 1124901

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