Diamond, Alexander Sebastian

Diamond, Alexander Sebastian is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Diamond, Alexander Sebastian can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8544419-4405 Utah

Profile Details

NPI number 1750850137
LBN Legal business name Diamond, Alexander Sebastian
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2018
Last updated Sep 8th, 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 1750850137 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 8760003008007 RAILROAD MEDICARE
Utah Other 000055266 RAILROAD MEDICARE

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