Deetz, David L
Deetz, David L is an sole proprietor health care provider with primary practice located at 710 S Alameda Blvd , Las Cruces NM 88005-2928. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Deetz, David L can be contacted via phone (575) 523-8566.Contact Information
Primary practice address
710 S Alameda Blvd
Las Cruces NM 88005-2928
Phone: (575) 523-8566
Fax: (575) 525-2065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | NM142 | New Mexico |
Profile Details
| NPI number | 1568465862 |
|---|---|
| LBN Legal business name | Deetz, David L |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | May 14th, 2008 - 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 | 1568465862 | NPPES |
| New Mexico | MEDICAID | 54072 | |
| New Mexico | Other | NM035303 |
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