Diamond, Chad J
Diamond, Chad J is an individual health care provider with primary practice located at 110 Millsaps Dr , Hattiesburg MS 39402-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diamond, Chad J can be contacted via phone (601) 261-5710.Contact Information
Primary practice address
110 Millsaps Dr
Hattiesburg MS 39402-1347
Phone: (601) 261-5710
Fax: (601) 268-5058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16945 | Mississippi |
Profile Details
| NPI number | 1124023098 |
|---|---|
| LBN Legal business name | Diamond, Chad J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1124023098 | NPPES |
| Mississippi | MEDICAID | 00125973 |
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