Stewart, Diane Marie
Stewart, Diane Marie is an individual health care provider with primary practice located at 1615 Mahan Center Blvd , Tallahassee FL 32308-5443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Stewart, Diane Marie can be contacted via phone (850) 521-5753.Contact Information
Primary practice address
1615 Mahan Center Blvd
Tallahassee FL 32308-5443
Phone: (850) 521-5753
Fax: (850) 521-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 051603 | Georgia |
Profile Details
| NPI number | 1750332557 |
|---|---|
| LBN Legal business name | Stewart, Diane Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Sep 1st, 2009 - about 17 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 | 1750332557 | NPPES |
| Georgia | Other | 051603 | STATE LICENSE |
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