Diamond, Elliot
Diamond, Elliot is an sole proprietor health care provider with primary practice located at 123 Chestnut St Ste 201 , Philadelphia PA 19106-3051. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Diamond, Elliot can be contacted via phone (215) 923-2455.Contact Information
Primary practice address
123 Chestnut St Ste 201
Philadelphia PA 19106-3051
Phone: (215) 923-2455
Fax: (215) 923-4535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC002164L | Pennsylvania |
Profile Details
| NPI number | 1831195445 |
|---|---|
| LBN Legal business name | Diamond, Elliot |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jan 8th, 2009 - about 17 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 | 1831195445 | NPPES |
| Other | D11537095 | B.S. | |
| MEDICAID | 000710450 | B.S. |
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