Rose, Diane

Rose, Diane is an sole proprietor health care provider with primary practice located at 8 Lancelot Ct Apt 27 , Salem NH 03079-3579. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rose, Diane can be contacted via phone (035) 547-1746.

Contact Information

Primary practice address
8 Lancelot Ct Apt 27 Salem NH 03079-3579
Phone: (035) 547-1746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4733 Massachusetts
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 445 Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X 4733 Massachusetts

Profile Details

NPI number 1982775011
LBN Legal business name Rose, Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated Jan 16th, 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 1982775011 NPPES
Massachusetts MEDICAID 1982775011

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