Deitch, Robert D

Deitch, Robert D is an sole proprietor health care provider with primary practice located at 10300 N Illinois St Suite 1040, Indianapolis IN 46290-1166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Deitch, Robert D can be contacted via phone (317) 817-1765.

Contact Information

Primary practice address
10300 N Illinois St Suite 1040 Indianapolis IN 46290-1166
Phone: (317) 817-1765
Fax: (317) 817-1767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01033749 Indiana

Profile Details

NPI number 1578522850
LBN Legal business name Deitch, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Jan 8th, 2017 - about 8 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 1578522850 NPPES
Indiana MEDICAID 100068910C

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