Hentz, Diane Marie
Hentz, Diane Marie is an individual health care provider with primary practice located at 5750 Falls Dr , Fort Wayne IN 46804-7147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Hentz, Diane Marie can be contacted via phone (260) 436-8000.Contact Information
Primary practice address
5750 Falls Dr
Fort Wayne IN 46804-7147
Phone: (260) 436-8000
Fax: (260) 432-5587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01038843A | Indiana |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 01038843A | Indiana |
Profile Details
| NPI number | 1235237074 |
|---|---|
| LBN Legal business name | Hentz, Diane Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1235237074 | NPPES |
| Other | P00074720 | MEDICARE RAILROAD | |
| Other | 01038843B | MEDICARE RAILROAD | |
| Other | 1390 | MEDICARE RAILROAD | |
| Other | 000000308077 | MEDICARE RAILROAD | |
| Other | 4045038 | MEDICARE RAILROAD | |
| MEDICAID | 100359250 | MEDICARE RAILROAD |
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