Diaconou, John N

Diaconou, John N is an individual health care provider with primary practice located at 202 N Division St Ste 402, Auburn WA 98001-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Diaconou, John N can be contacted via phone (253) 833-8032.

Contact Information

Primary practice address
202 N Division St Ste 402 Auburn WA 98001-4939
Phone: (253) 833-8032
Fax: (253) 833-8081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD00018742 Washington

Profile Details

NPI number 1821105164
LBN Legal business name Diaconou, John N
Credentials MD PS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Mar 1st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821105164 NPPES
Washington Other CH9408 RR MEDICARE GROUP #
Washington MEDICAID 1779008 RR MEDICARE GROUP #
Washington Other 230000055 RR MEDICARE GROUP #
Washington Other 0265721 RR MEDICARE GROUP #
Washington Other 0152713 RR MEDICARE GROUP #
Washington Other 0244706 RR MEDICARE GROUP #

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