Deets, David K

Deets, David K is an individual health care provider with primary practice located at 215 E 1St St Ste 326 Ksb Medical Group, Dixon IL 61021-3166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Deets, David K can be contacted via phone (815) 284-5719.

Contact Information

Primary practice address
215 E 1St St Ste 326 Ksb Medical Group Dixon IL 61021-3166
Phone: (815) 284-5719
Fax: (815) 285-5894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036-0482660 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-0482660 Illinois

Profile Details

NPI number 1093786220
LBN Legal business name Deets, David K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 17th, 2008 - about 16 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 1093786220 NPPES
Illinois MEDICAID 036048266

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