Smith, Diane Elaine

Smith, Diane Elaine is an individual health care provider with primary practice located at 3924 Clock Pointe Trl Ste 104 , Stow OH 44224-2952. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Smith, Diane Elaine can be contacted via phone (330) 475-1870.

Contact Information

Primary practice address
3924 Clock Pointe Trl Ste 104 Stow OH 44224-2952
Fax: (330) 475-1872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34004727 Ohio

Profile Details

NPI number 1457555963
LBN Legal business name Smith, Diane Elaine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jun 30th, 2014 - about 12 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 1457555963 NPPES
Ohio MEDICAID 0887401

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