Mcavoy, Diane Carol

Mcavoy, Diane Carol is an individual health care provider with primary practice located at 220 Tilghman Rd , Salisbury MD 21804-1921. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mcavoy, Diane Carol can be contacted via phone (410) 219-5530.

Contact Information

Primary practice address
220 Tilghman Rd Salisbury MD 21804-1921
Phone: (410) 219-5530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085009493 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA001866L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.009493 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0007548 Maryland

Profile Details

NPI number 1083609002
LBN Legal business name Mcavoy, Diane Carol
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 19th, 2024 - about 2 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 1083609002 NPPES
Pennsylvania MEDICAID 1035418490002

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