Koglin, Diane

Koglin, Diane is an sole proprietor health care provider with primary practice located at 4 Camelback Rd , Greenville SC 29617-7335. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Koglin, Diane can be contacted via phone (864) 434-1228.

Contact Information

Primary practice address
4 Camelback Rd Greenville SC 29617-7335
Phone: (864) 434-1228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000077 Michigan
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 3930 South Carolina

Profile Details

NPI number 1043398514
LBN Legal business name Koglin, Diane
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated May 2nd, 2018 - about 8 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 1043398514 NPPES
Michigan Other 54-0-C2-0269 BCBS/DISPENSING
Michigan Other 64-0-C2-2601 BCBS/DISPENSING
Michigan Other Q373590281 BCBS/DISPENSING
Michigan Other 000000551641 BCBS/DISPENSING
Michigan MEDICAID SA1394 BCBS/DISPENSING

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