Diamond, Mark Wayne

Diamond, Mark Wayne is an sole proprietor health care provider with primary practice located at 3225 Independence Rd , Canon City CO 81212-9380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Diamond, Mark Wayne can be contacted via phone (719) 275-2351.

Contact Information

Primary practice address
3225 Independence Rd Canon City CO 81212-9380
Phone: (719) 275-2351
Fax: (719) 269-9386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 32405 Colorado
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X DO126330 Oregon

Profile Details

NPI number 1124059571
LBN Legal business name Diamond, Mark Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Aug 27th, 2013 - about 11 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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