Liljegren, Diane L

Liljegren, Diane L is an individual health care provider with primary practice located at 3100 Tongass Ave , Ketchikan AK 99901-5746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Liljegren, Diane L can be contacted via phone (907) 228-8140.

Contact Information

Primary practice address
3100 Tongass Ave Ketchikan AK 99901-5746
Phone: (907) 228-8140
Fax: (907) 228-8440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2793 Alaska

Profile Details

NPI number 1407887763
LBN Legal business name Liljegren, Diane L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated May 15th, 2008 - about 18 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 1407887763 NPPES
Alaska MEDICAID MD27931
Alaska Other 201207

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