Deitch, Steven Douglas

Deitch, Steven Douglas is an sole proprietor health care provider with primary practice located at 617 23Rd St , Ashland KY 41101-2880. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Deitch, Steven Douglas can be contacted via phone (606) 326-0300.

Contact Information

Primary practice address
617 23Rd St Ashland KY 41101-2880
Phone: (606) 326-0300
Fax: (606) 326-0235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26535 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26535 Kentucky

Profile Details

NPI number 1912003781
LBN Legal business name Deitch, Steven Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jun 28th, 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 1912003781 NPPES
Kentucky MEDICAID 64265358
Kentucky Other 000000049311
Kentucky Other 1030745
Kentucky Other 26-4183569
Kentucky MEDICAID 0742594
Kentucky Other 4347345
Kentucky Other 000000733227
Kentucky MEDICAID 0042484000

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