Padrutt, Diana

Padrutt, Diana is an sole proprietor health care provider with primary practice located at 474 N Yellow Springs St , Springfield OH 45504-2463. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Padrutt, Diana can be contacted via phone (937) 399-9500.

Contact Information

Primary practice address
474 N Yellow Springs St Springfield OH 45504-2463
Phone: (937) 399-9500
Fax: (937) 342-4242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.912921 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0009305-SUPV Ohio

Profile Details

NPI number 1770574618
LBN Legal business name Padrutt, Diana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Dec 14th, 2017 - about 9 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 1770574618 NPPES
Ohio Other 000000375355 ANTHEM

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