Deitrick, David H
Deitrick, David H is an individual health care provider with primary practice located at 3535 Park St Suite 110, Muskegon MI 49444-3736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deitrick, David H can be contacted via phone (231) 733-3155.Contact Information
Primary practice address
3535 Park St Suite 110
Muskegon MI 49444-3736
Phone: (231) 733-3155
Fax: (231) 733-0739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301036496 | Michigan |
Profile Details
| NPI number | 1316913874 |
|---|---|
| LBN Legal business name | Deitrick, David H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Feb 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316913874 | NPPES |
| Michigan | MEDICAID | 4556173 |
Popular Providers
-
Tanner, Tina Louise
2006 Holton Rd , Muskegon MI 49445-1505 -
Powell, Matthew Neil
5933 Grand Haven Rd , Muskegon MI 49441-6011 -
Crandle, Jeffrey A
6401 Prairie St Suite 1600, Muskegon MI 49444-7840 -
Jarvis, Joel
1223 Mercy Dr , Muskegon MI 49444-1829 -
Klanke, Michelle Carol
1778 Sanford St , Muskegon MI 49441-2537 -
Vanittersum, Koryn M
6401 Prairie St Suite 2600, Muskegon MI 49444 -
Keller, Katherine Gross
1223 Mercy Dr , Muskegon MI 49444-1829 -
Kohn, Wayne H
2700 Baker St Third Floor, Muskegon MI 49444-2157