Gressett, Diane
Gressett, Diane is an sole proprietor health care provider with primary practice located at 3408 Bart St , Portsmouth VA 23707-3231. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gressett, Diane can be contacted via phone (757) 966-5902.Contact Information
Primary practice address
3408 Bart St
Portsmouth VA 23707-3231
Phone: (757) 966-5902
Fax: (757) 673-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16738 |
Profile Details
| NPI number | 1790233203 |
|---|---|
| LBN Legal business name | Gressett, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2016 |
| Last updated | Sep 13th, 2016 - about 10 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 | 1790233203 | NPPES |
| Virginia | MEDICAID | 1174898506 |
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