Diaz, Joseph James

Diaz, Joseph James is an individual health care provider with primary practice located at 538 J M Ash Dr , Holly Springs MS 38635-3238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diaz, Joseph James can be contacted via phone (662) 252-1599.

Contact Information

Primary practice address
538 J M Ash Dr Holly Springs MS 38635-3238
Fax: (662) 252-1986
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18691 Mississippi

Profile Details

NPI number 1760512099
LBN Legal business name Diaz, Joseph James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1760512099 NPPES
Mississippi MEDICAID 05905731

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