Diaz, Jeremy

Diaz, Jeremy is an individual health care provider with primary practice located at 615 N 19Th St , Fort Smith AR 72901-3319. 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. Diaz, Jeremy can be contacted via phone (479) 785-4083.

Contact Information

Primary practice address
615 N 19Th St Fort Smith AR 72901-3319
Phone: (479) 785-4083
Fax: (479) 668-2059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1902292568
LBN Legal business name Diaz, Jeremy
Credentials RDS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Apr 10th, 2015 - about 10 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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