Deitch, John R
Deitch, John R is an individual health care provider with primary practice located at 25 Monument Rd Suite 290, York PA 17403-5060. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Deitch, John R can be contacted via phone (717) 812-4090.Contact Information
Primary practice address
25 Monument Rd Suite 290
York PA 17403-5060
Phone: (717) 812-4090
Fax: (717) 812-4092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD421588 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | MD421588 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | MD421588 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD421588 | Pennsylvania |
Profile Details
| NPI number | 1770547069 |
|---|---|
| LBN Legal business name | Deitch, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jun 30th, 2016 - about 9 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 | 1770547069 | NPPES |
| Maryland | Other | 955041 | CAREFIRST MD BCBS-WMG |
| Maryland | Other | 1533804 | CAREFIRST MD BCBS-WMG |
| Maryland | Other | 20091796 | CAREFIRST MD BCBS-WMG |
| Maryland | Other | 1469568 | CAREFIRST MD BCBS-WMG |
| Maryland | Other | 20091796 | CAREFIRST MD BCBS-WMG |
| Maryland | MEDICAID | 001947744 | CAREFIRST MD BCBS-WMG |
| Maryland | Other | 273200 | CAREFIRST MD BCBS-WMG |
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