Perez - Solano, Diana E

Perez - Solano, Diana E is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 207 , Mishawaka IN 46545-1465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perez - Solano, Diana E can be contacted via phone (574) 335-6850.

Contact Information

Primary practice address
611 E Douglas Rd Ste 207 Mishawaka IN 46545-1465
Phone: (574) 335-6850
Fax: (574) 335-0849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002769A Indiana

Profile Details

NPI number 1275802332
LBN Legal business name Perez - Solano, Diana E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2011
Last updated Jul 17th, 2023 - about 3 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 1275802332 NPPES
Indiana Other 1102555349 ANTHEM
Indiana MEDICAID 300035174 ANTHEM

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