Fernandez, Dianne Michelle

Fernandez, Dianne Michelle is an sole proprietor health care provider with primary practice located at 4800 4Th St N , Saint Petersburg FL 33703-3817. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fernandez, Dianne Michelle can be contacted via phone (727) 528-1133.

Contact Information

Primary practice address
4800 4Th St N Saint Petersburg FL 33703-3817
Phone: (727) 528-1133
Fax: (727) 527-3750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0005777 Florida

Profile Details

NPI number 1104975739
LBN Legal business name Fernandez, Dianne Michelle
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 19 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 1104975739 NPPES
Florida Other 39666 BCBS PROVIDER NUMBER

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