Diamond, Alphonsus G.

Diamond, Alphonsus G. is an individual health care provider with primary practice located at 810 S 6Th St , Monticello IN 47960-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diamond, Alphonsus G. can be contacted via phone (574) 583-6543.

Contact Information

Primary practice address
810 S 6Th St Monticello IN 47960-8201
Phone: (574) 583-6543
Fax: (574) 583-9502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01068613A Indiana

Profile Details

NPI number 1982831939
LBN Legal business name Diamond, Alphonsus G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Feb 2nd, 2021 - about 5 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 1982831939 NPPES
Indiana Other 000000774056 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201018230 ANTHEM PROVIDER NUMBER

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