Trace, Diane J

Trace, Diane J is an sole proprietor health care provider with primary practice located at 1446 S Arch Ave , Alliance OH 44601-4203. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Trace, Diane J can be contacted via phone (330) 823-1408.

Contact Information

Primary practice address
1446 S Arch Ave Alliance OH 44601-4203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2233363 Ohio

Profile Details

NPI number 1013177724
LBN Legal business name Trace, Diane J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2008
Last updated Jun 16th, 2008 - about 18 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 1013177724 NPPES
Ohio Other 2233363 PROVODER

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