Mcdermott, Diane Simone

Mcdermott, Diane Simone is an individual health care provider with primary practice located at 824 Wren Rd , Goodlettsville TN 37072-2312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcdermott, Diane Simone can be contacted via phone (615) 851-8959.

Contact Information

Primary practice address
824 Wren Rd Goodlettsville TN 37072-2312
Phone: (615) 851-8959
Fax: (615) 851-5949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD25154 Tennessee

Profile Details

NPI number 1104987262
LBN Legal business name Mcdermott, Diane Simone
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 5th, 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 1104987262 NPPES
Other 205724681 UNITED HEALTHCARE
MEDICAID 3094940 UNITED HEALTHCARE
Other SSN UNITED HEALTHCARE
Other 4147626 UNITED HEALTHCARE
Other 6271922 UNITED HEALTHCARE
Other 3736131 UNITED HEALTHCARE
Other 01041710 UNITED HEALTHCARE
Other 7078597 UNITED HEALTHCARE
Other G20365 UNITED HEALTHCARE
Other TN0102 UNITED HEALTHCARE

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