Provider Demographics
NPI:1962843466
Name:WOMEN'S OSTEOPATHIC MEDICAL CARE, PLLC
Entity Type:Organization
Organization Name:WOMEN'S OSTEOPATHIC MEDICAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASLANIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:434-392-9200
Mailing Address - Street 1:110 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1319
Mailing Address - Country:US
Mailing Address - Phone:434-392-9200
Mailing Address - Fax:434-392-9202
Practice Address - Street 1:110 4TH ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1319
Practice Address - Country:US
Practice Address - Phone:434-392-9200
Practice Address - Fax:434-392-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202679207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty