Diamond, Amanda

Diamond, Amanda is an sole proprietor health care provider with primary practice located at 700 1St Ave S , Fargo ND 58103-1802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Diamond, Amanda can be contacted via phone (701) 234-4036.

Contact Information

Primary practice address
700 1St Ave S Fargo ND 58103-1802
Phone: (701) 234-4036
Fax: (701) 234-4160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X LP00224 Rhode Island
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10863 North Dakota

Profile Details

NPI number 1093932212
LBN Legal business name Diamond, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jan 18th, 2012 - about 12 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 1093932212 NPPES
Minnesota MEDICAID 1093932212
Minnesota MEDICAID 14766

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