Osborne, Diana
Osborne, Diana is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110, Fort Wayne IN 46845-1730. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Osborne, Diana can be contacted via phone (260) 460-3203.Contact Information
Primary practice address
11104 Parkview Circle Dr Ste 110
Fort Wayne IN 46845-1730
Phone: (260) 460-3203
Fax: (260) 460-3130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040538A | Indiana |
Profile Details
| NPI number | 1346247830 |
|---|---|
| LBN Legal business name | Osborne, Diana |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Dec 26th, 2012 - about 14 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 | 1346247830 | NPPES |
| Indiana | Other | 860000041 | RR MEDICARE |
| Indiana | MEDICAID | 0968921 | RR MEDICARE |
| Indiana | MEDICAID | 200040220 | RR MEDICARE |
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