Deisch, Jeremy K.

Deisch, Jeremy K. is an individual health care provider with primary practice located at 11234 Anderson St Room 2151, Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Deisch, Jeremy K. can be contacted via phone (909) 558-5170.

Contact Information

Primary practice address
11234 Anderson St Room 2151 Loma Linda CA 92354-2804
Phone: (909) 558-5170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X A117116 California
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X A117116 California

Profile Details

NPI number 1619170222
LBN Legal business name Deisch, Jeremy K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Jul 6th, 2011 - about 13 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 1619170222 NPPES
California Other A117116 CALIFORNIA MEDICAL LICENSE

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