Diamond, Elliot

Diamond, Elliot is an sole proprietor health care provider with primary practice located at 123 Chestnut St Ste 201 , Philadelphia PA 19106-3051. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Diamond, Elliot can be contacted via phone (215) 923-2455.

Contact Information

Primary practice address
123 Chestnut St Ste 201 Philadelphia PA 19106-3051
Phone: (215) 923-2455
Fax: (215) 923-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002164L Pennsylvania

Profile Details

NPI number 1831195445
LBN Legal business name Diamond, Elliot
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jan 8th, 2009 - about 16 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 1831195445 NPPES
Other D11537095 B.S.
MEDICAID 000710450 B.S.

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