Halloran, Diane M.

Halloran, Diane M. is an individual health care provider with primary practice located at 6320 W North Ave , Wauwatosa WI 53213-2013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Halloran, Diane M. can be contacted via phone (414) 258-2981.

Contact Information

Primary practice address
6320 W North Ave Wauwatosa WI 53213-2013
Phone: (414) 258-2981
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 992-026 Wisconsin

Profile Details

NPI number 1295885358
LBN Legal business name Halloran, Diane M.
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 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 1295885358 NPPES
Wisconsin MEDICAID 40523600

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