King, Diane Dayle

King, Diane Dayle is an individual health care provider with primary practice located at 579 Country Club Lane , Hamilton MT 59840. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. King, Diane Dayle can be contacted via phone (406) 363-5358.

Contact Information

Primary practice address
579 Country Club Lane Hamilton MT 59840
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 54 Montana

Profile Details

NPI number 1720143761
LBN Legal business name King, Diane Dayle
Credentials CCC SLP CERTIFICATE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
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 1720143761 NPPES
Montana Other 660730 BL CROSS BL SHIELD
Montana MEDICAID 0530230 BL CROSS BL SHIELD

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