Diaczok, Benjamin John
Diaczok, Benjamin John is an individual health care provider with primary practice located at 22255 Greenfield Rd 410, Southfield MI 48075-3710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diaczok, Benjamin John can be contacted via phone (248) 849-2850.Contact Information
Primary practice address
22255 Greenfield Rd 410
Southfield MI 48075-3710
Phone: (248) 849-2850
Fax: (248) 849-5751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301050499 | Michigan |
Profile Details
| NPI number | 1760480834 |
|---|---|
| LBN Legal business name | Diaczok, Benjamin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1760480834 | NPPES |
| Michigan | Other | 4301050499 | CONTROLLED SUBSTANCE |
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