Provider Demographics
NPI:1700096849
Name:SHEFFIELD, DIANE HUNTER (L AC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:HUNTER
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99210-1071
Mailing Address - Country:US
Mailing Address - Phone:509-624-4937
Mailing Address - Fax:509-456-3730
Practice Address - Street 1:3430 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2621
Practice Address - Country:US
Practice Address - Phone:509-624-4937
Practice Address - Fax:509-456-3730
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000520171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist