Harris, Diamond N

Harris, Diamond N is an individual health care provider with primary practice located at 1373 E Sr 62 , Madison IN 47250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harris, Diamond N can be contacted via phone (812) 801-0300.

Contact Information

Primary practice address
1373 E Sr 62 Madison IN 47250
Phone: (812) 801-0300
Fax: (812) 801-0585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT199150 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01074348A Indiana

Profile Details

NPI number 1689960429
LBN Legal business name Harris, Diamond N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated May 25th, 2022 - about 4 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 1689960429 NPPES
Kentucky MEDICAID 7100339020
Kentucky MEDICAID 201239430
Kentucky Other 884673
Kentucky Other 4189809

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