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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861481244 NPPES
Wisconsin Other 82082300 WISE PUBLICAID

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