Diamond, Jerett Lewis
Diamond, Jerett Lewis is an individual health care provider with primary practice located at 1137 Emerald Bay Rd , South Lake Tahoe CA 96150-6207. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Diamond, Jerett Lewis can be contacted via phone (530) 541-5190.Contact Information
Primary practice address
1137 Emerald Bay Rd
South Lake Tahoe CA 96150-6207
Phone: (530) 541-5190
Fax: (530) 541-6031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1356521934 |
|---|---|
| LBN Legal business name | Diamond, Jerett Lewis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Nov 12th, 2007 - about 19 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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