Deitch, Kenneth

Deitch, Kenneth is an individual health care provider with primary practice located at 101 E Olney Ave Suite 400, Phila PA 19120-2421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deitch, Kenneth can be contacted via phone (215) 456-7000.

Contact Information

Primary practice address
101 E Olney Ave Suite 400 Phila PA 19120-2421
Phone: (215) 456-7000
Fax: (215) 254-2599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS012659 Pennsylvania

Profile Details

NPI number 1558300855
LBN Legal business name Deitch, Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 11th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558300855 NPPES
Pennsylvania Other 232664784 TAX ID #

Popular Providers