Diamond, Steven D
Diamond, Steven D is an sole proprietor health care provider with primary practice located at 5727 Strathmoor Dr , Rockford IL 61107-5180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diamond, Steven D can be contacted via phone (815) 397-3337.Contact Information
Primary practice address
5727 Strathmoor Dr
Rockford IL 61107-5180
Phone: (815) 397-3337
Fax: (815) 231-5408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036376054 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28756020 | Wisconsin |
Profile Details
NPI number | 1861481244 |
---|---|
LBN Legal business name | Diamond, Steven D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 18th, 2005 |
Last updated | Sep 2nd, 2014 - about 10 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 | 1861481244 | NPPES |
Wisconsin | Other | 82082300 | WISE PUBLICAID |
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