Al-Abduljalil, Diane
Al-Abduljalil, Diane is an sole proprietor health care provider with primary practice located at 4105 Crocus Ln , Colorado Springs CO 80918-4413. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Al-Abduljalil, Diane can be contacted via phone (719) 264-6271.Contact Information
Primary practice address
4105 Crocus Ln
Colorado Springs CO 80918-4413
Phone: (719) 264-6271
Fax: (719) 264-6298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 32462 | Colorado |
Profile Details
| NPI number | 1346458221 |
|---|---|
| LBN Legal business name | Al-Abduljalil, Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346458221 | NPPES |
| Colorado | MEDICAID | 01324623 |
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