Macon, Diane
Macon, Diane is an sole proprietor health care provider with primary practice located at 1910 E Mobile Ln , Phoenix AZ 85040-2439. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Macon, Diane can be contacted via phone (602) 268-4333.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 3870 | Arizona |
Profile Details
| NPI number | 1003982703 |
|---|---|
| LBN Legal business name | Macon, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003982703 | NPPES |
| Arizona | Other | 714221 | AHCCCS ID NUMBER |
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