Koetz, Diane
Koetz, Diane is an individual health care provider with primary practice located at 12480 Aberdeen St Ne , Blaine MN 55449-4721. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Koetz, Diane can be contacted via phone (763) 862-6596.Contact Information
Primary practice address
12480 Aberdeen St Ne
Blaine MN 55449-4721
Phone: (763) 862-6596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH5666 | North Dakota |
| Pharmacy Service Providers / Pharmacist | 183500000X | 121785 | Minnesota |
Profile Details
| NPI number | 1467854182 |
|---|---|
| LBN Legal business name | Koetz, Diane |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2014 |
| Last updated | Jul 14th, 2022 - about 4 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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