Greene-Chandos, Diana Lynn
Greene-Chandos, Diana Lynn is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is her primary health care specialty. Greene-Chandos, Diana Lynn can be contacted via phone (614) 293-8714.Contact Information
Primary practice address
410 W 10Th Ave
Columbus OH 43210-1240
Phone: (614) 293-8714
Fax: (614) 293-4281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 35.095885 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD2019-0190 | New Mexico |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 35.095885 | Ohio |
Profile Details
| NPI number | 1083693477 |
|---|---|
| LBN Legal business name | Greene-Chandos, Diana Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Feb 2nd, 2024 - about last year |
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 | 1083693477 | NPPES |
| Ohio | MEDICAID | 3110556 | |
| Ohio | Other | P01686423 |
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