Todd, Diane H

Todd, Diane H is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Todd, Diane H can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200350035NPACNPPP Oregon

Profile Details

NPI number 1134174220
LBN Legal business name Todd, Diane H
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jul 21st, 2015 - about 11 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 1134174220 NPPES
Oregon Other 93-0635514 NBMC GROUP TAX ID FOR BILLING
Oregon Other 1407812365 NBMC GROUP TAX ID FOR BILLING
Oregon Other R0000WFBTV NBMC GROUP TAX ID FOR BILLING
Oregon Other 161133 NBMC GROUP TAX ID FOR BILLING
Oregon MEDICAID 028112 NBMC GROUP TAX ID FOR BILLING

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