Dr. Diana Immenhausen, DO
Family Medicine in Brimfield, Massachusetts
1821331604- Practice location
- 255 E Old Sturbridge RD, Brimfield, MA 01010-9647
- Phone
- 413-245-3389
- Fax
- —
- Last updated
- February 2, 2023
Diana Immenhausen is a Family Medicine based in Brimfield, MA. Diana Immenhausen practices in Brimfield, MA and has the professional credentials of DO. The NPI Number for Diana Immenhausen is 1821331604 and holds a License No. 295025 (MA). The current practice location address for Diana Immenhausen is 255 E Old Sturbridge RD, Brimfield, MA 01010-9647 and can be reached out via phone at 413-245-3389.
Provider Profile Details
- NPI Number
- 1821331604
- Provider Name
- Diana Immenhausen
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 255 E Old Sturbridge RD, Brimfield, MA 01010-9647
- Phone Number
- 413-245-3389
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2013
- Last Update Date
- February 2, 2023
- Certification Date
- February 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 255 E Old Sturbridge RD
Brimfield, MA 01010-9647 - City
- Brimfield
- State
- Massachusetts
- Zip
- 01010-9647
- Phone Number
- 413-245-3389
Provider Business Mailing Address Details
- Address
- Po Box 40
Southbridge, MA 01550-0040 - City
- Southbridge
- State
- MA
- Zip
- 01550-0040
License Information
- License Number (1)
- 295025
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- License Number (2)
- 283013
- License State (2)
- NY
- Taxonomy (2)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Diana Immenhausen, DO?
The NPI number of Dr. Diana Immenhausen, DO is 1821331604. It was assigned on March 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Diana Immenhausen, DO?
Dr. Diana Immenhausen, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 295025.
Where does Dr. Diana Immenhausen, DO practice?
The practice location is 255 E Old Sturbridge RD, Brimfield, MA 01010-9647. The office can be reached at 413-245-3389 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821331604 directly on the NPPES registry website.