Spence, Dinah Lynn
Spence, Dinah Lynn is an sole proprietor health care provider with primary practice located at 318 W Pike St Suite 104, Lawrenceville GA 30045-3234. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Spence, Dinah Lynn can be contacted via phone (678) 377-2833.Contact Information
Primary practice address
318 W Pike St Suite 104
Lawrenceville GA 30045-3234
Phone: (678) 377-2833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT002640 | Georgia |
Profile Details
| NPI number | 1134287907 |
|---|---|
| LBN Legal business name | Spence, Dinah Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1134287907 | NPPES |
| Georgia | Other | 10037598 | AMERIGROUP-AAKTS |
| Georgia | MEDICAID | 00819277B | AMERIGROUP-AAKTS |
| Georgia | Other | 307935 | AMERIGROUP-AAKTS |
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