Diakiw, John

Diakiw, John is an individual health care provider with primary practice located at 748 Quincy Ave Suite 1A, Scranton PA 18510-1739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diakiw, John can be contacted via phone (570) 347-9600.

Contact Information

Primary practice address
748 Quincy Ave Suite 1A Scranton PA 18510-1739
Fax: (570) 342-0681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD023799E Pennsylvania

Profile Details

NPI number 1245208081
LBN Legal business name Diakiw, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 19th, 2021 - about 3 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 1245208081 NPPES
Pennsylvania MEDICAID 0010095930005

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