Diane Carol Dovenberg in Saint Paul - Clinical
Diane Carol Dovenberg - NPI 1174721328
Diane Carol Dovenberg is a Clinical in Saint Paul, Minnesota. Diane Carol Dovenberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Carol Dovenberg is 1174721328. The last update date is 2007-07-10.
Diane Carol Dovenberg's current location address is 646 Orange Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6514872450 and fax number 6514872739. The mailing address for Diane Carol Dovenberg is 646 Orange Ave W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Carol Dovenberg |
|---|---|
| Address | 646 Orange Ave W, Saint Paul, Minnesota |
| Phone Number | 6514872450 |
| Fax Number | 6514872739 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1174721328 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 646 Orange Ave W |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551174139 |
| Phone Number | 6514872450 |
| Fax Number | 6514872739 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 17 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Diane Carol Dovenberg by the Centers for Medicare & Medicaid Services?
The Diane Carol Dovenberg has been issued the NPI (National Provider Identifier) 1174721328, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Diane Carol Dovenberg located?
The Diane Carol Dovenberg is located at 646 Orange Ave W, Saint Paul, MN 551174139.
What is Diane Carol Dovenberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane Carol Dovenberg's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Diane Carol Dovenberg receive its 1174721328 assignment from the Centers for Medicare & Medicaid Services?
The Diane Carol Dovenberg was assigned its 1174721328 on 2007-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Diane Carol Dovenberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diane Carol Dovenberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-10.