Visich, Diane M

Visich, Diane M is an individual health care provider with primary practice located at 211 S Crapo St Suite A, Mount Pleasant MI 48858-2961. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Visich, Diane M can be contacted via phone (989) 775-3823.

Contact Information

Primary practice address
211 S Crapo St Suite A Mount Pleasant MI 48858-2961
Phone: (989) 775-3823
Fax: (989) 773-5061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003226 Michigan

Profile Details

NPI number 1023048055
LBN Legal business name Visich, Diane M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 7th, 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 1023048055 NPPES
Michigan Other 0853701290 BCBSM

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