Diane Eden, Md, Inc in Willoughby - Prescribing (medical)
Diane Eden, Md, Inc - NPI 1649432451
Diane Eden, Md, Inc is a Prescribing (medical) in Willoughby, Ohio. Diane Eden, Md, Inc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Diane Eden, Md, Inc is 1649432451. The last update date is 2008-07-02.
Diane Eden, Md, Inc's current location address is 35000 Chardon Rd, Willoughby, Ohio. You can contact this provider via phone number 4409515600 and fax number 4409511293. The mailing address for Diane Eden, Md, Inc is 35000 Chardon Rd, Willoughby, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diane Eden, Md, Inc |
|---|---|
| Address | 35000 Chardon Rd, Willoughby, Ohio |
| Phone Number | 4409515600 |
| Fax Number | 4409511293 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Eden Holly Diane |
| Credentials | MD |
| Telephone Number | 4409515600 |
NPI Number Detail
| NPI Number | 1649432451 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 35000 Chardon Rd |
|---|---|
| City | Willoughby |
| State | Ohio (OH) |
| Post Code | 440949012 |
| Phone Number | 4409515600 |
| Fax Number | 4409511293 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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What is the unique 10-digit identifier code assigned to Diane Eden, Md, Inc by the Centers for Medicare & Medicaid Services?
The Diane Eden, Md, Inc has been issued the NPI (National Provider Identifier) 1649432451 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Diane Eden, Md, Inc is physically located?
The Diane Eden, Md, Inc is physically situated at the following address: 35000 Chardon Rd, Willoughby, OH, 440949012.
What is Diane Eden, Md, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Diane Eden, Md, Inc is Prescribing (medical), and the taxonomy code that categorizes this field of expertise is 103Tp0016X.
On what date did the Diane Eden, Md, Inc receive its 1649432451 assignment from the Centers for Medicare & Medicaid Services?
The Diane Eden, Md, Inc was assigned its 1649432451 by the Centers for Medicare & Medicaid Services on 2008-07-02.
When was the Diane Eden, Md, Inc's information last updated?
The Diane Eden, Md, Inc's information was last updated on 2008-07-02.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN