Diaz, Paul

Diaz, Paul is an individual health care provider with primary practice located at 2133 W Lexington St , Chicago IL 60612-3707. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Diaz, Paul can be contacted via phone (312) 746-7824.

Contact Information

Primary practice address
2133 W Lexington St Chicago IL 60612-3707
Phone: (312) 746-7824
Fax: (312) 746-6526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 001159 Illinois

Profile Details

NPI number 1013360429
LBN Legal business name Diaz, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Jul 20th, 2016 - about 9 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 1013360429 NPPES
Illinois Other 001159 IDPHLICENSE

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